# CIDRA & MONTANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cidra & Montana, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164987855
- **Authorized official:** HECTOR RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (787) 739-5099

## Contact information

- **Practice address:** CALLE JOSE DE DIEGO 49, CIDRA, PR 00739
- **Practice address phone:** (787) 739-5099
- **Mailing address:** PO BOX 2010, CAGUAS, PR 00726-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019