MEDICARE: DR. JULIETA MONTILLA ADSUAR MD

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	207Q00000X	Family Medicine Physician	13481	PR

General Provider Information

NPI Number	:	1811966633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIETA MONTILLA ADSUAR MD

Provider Business Mailing Address
First Line	:	164 URB LA SERRANIA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-1806
Country	:	US
Telephone Number	:	787-765-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 CALLE SERGIO CUEVAS
Second Line	:	URBANIZACION PARQUE CENTRAL
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2642
Country	:	US
Telephone Number	:	787-765-0680
Fax Number	:

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	12/13/2012

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