# ASOCIACION MEDICOS DE LA MONTANA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114197209
- **Authorized official:** DR. MIGUEL A ORTIZ CALDERO MD (PRESIDENT)
- **Authorized official phone:** (787) 859-1901

## Contact information

- **Practice address:** CALLE LAS MERCEDES \#23, COROZAL, PR 00783-0000
- **Practice address phone:** (787) 859-1901
- **Practice address fax:** (787) 859-1901
- **Mailing address:** PO BOX 620, COROZAL, PR 00783-0620
- **Mailing address phone:** (787) 859-1901
- **Mailing address fax:** (787) 859-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | IPA932 | PR | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 03/05/2008