MEDICARE: ALYSSA MONTOYA

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
1	335E00000X	Prosthetic/Orthotic Supplier	OQII9ASDCO	NM

General Provider Information

NPI Number	:	1215863493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA MONTOYA

Provider Business Mailing Address
First Line	:	522 W MERMOD ST # 2004
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 W MERMOD ST # 2005
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4907
Country	:	US
Telephone Number	:	575-914-6482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	07/01/2026

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Directions to “ ALYSSA MONTOYA ” Practice Location

Language	Start Address	Practice Location

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