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General NPI Number Information
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NPI Number | 1316902299
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Entity Type | Individual
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Provider Name | VICTOR M MONTANEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | STATE PSYCHIATRIC HOSPITAL, CALLE MAGA, BO. MONACILLO, CENTRO MEDICO
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-766-4646
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Fax | 787-296-2409
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Provider Business Mailing Address
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Address Line | P.O. BOX 8208
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City | BAYAMON
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State | PR
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Zip | 00960-8208
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Country | US
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Telephone | 787-515-8869
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Fax | 787-785-1829
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14887
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License Number State | PR
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