# JOSE RAUL MONTES EYES & FACIAL REJUVENATION, LLC

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

## Provider details

- **NPI number:** 1134593577
- **Authorized official:** MR. JOSE RAUL MONTES PAGAN M.D. (PRESIDENTE-(OWNER))
- **Authorized official phone:** (787) 777-0003

## Contact information

- **Practice address:** 735 AVE. PONCE DE LEON SUITE 813, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917
- **Practice address phone:** (787) 777-0003
- **Practice address fax:** (787) 777-0004
- **Mailing address:** 735 AVE. PONCE DE LEON SUITE 813, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917
- **Mailing address phone:** (787) 777-0003
- **Mailing address fax:** (787) 777-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | PR | Yes |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 11/23/2015