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NPI Code Detail

MEDICARE: DR. LUARDE I. MONTANO-SOTO M.D.

MEDICARE: DR. LUARDE I. MONTANO-SOTO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician13,964PR
2207RC0001XClinical Cardiac Electrophysiology Physician13964PR

General Provider Information

NPI Number : 1033213368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUARDE I. MONTANO-SOTO M.D.
Provider Business Mailing Address
First Line : 93 PARQUE DEL RIO
Second Line : ENCANTADA
City : TRUJILLO ALTO
State : PR
Zip : 00976-0000
Country : US
Telephone Number : 787-390-9090
Fax Number :
Provider Business Practice Location Address
First Line : 176 STREET EDIFICIO CUPEY PLAZA
Second Line : BOX 105
City : SAN JUAN
State : PR
Zip : 00926-0000
Country : US
Telephone Number : 787-390-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2006
Last Update Date : 08/17/2009

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