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Physician Compare National (NPI:1326114976)

HEALTHCARE PROVIDER: PEDRO S MONTANO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1326114976
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0547286692
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051019000057
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MONTANO
Individual professional last name
Provider First Name PEDRO
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1973
Individual professional's medical school graduation year
Primary Specialty OTOLARYNGOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 ALLERGY/IMMUNOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 FAMILY MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 MAXILLOFACIAL SURGERY
Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties ALLERGY/IMMUNOLOGY, FAMILY MEDICINE, MAXILLOFACIAL SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1200 CENTRAL BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A3
Group Practice or individual's line 2 address
City BROWNSVILLE
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 785207537
Group Practice or individual's zip code (9 digits when available)
Phone Number 9565480001
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450119
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SOUTH TEXAS HEALTH SYSTEM
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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