# CENTRO QUIRURGICO DE LA MONTANA INC

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

## Provider details

- **NPI number:** 1730126970
- **Authorized official:** WILMARIE SOTO (ADMINISTRATOR)
- **Authorized official phone:** (787) 535-0380

## Contact information

- **Practice address:** 174 CALLE LUIS BARRERAS S, CAYEY, PR 00736-4615
- **Practice address phone:** (787) 535-0380
- **Practice address fax:** (787) 535-0363
- **Mailing address:** PO BOX 371358, CAYEY, PR 00737-1358
- **Mailing address phone:** (787) 535-0380
- **Mailing address fax:** (787) 535-0363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 10 | PR | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 03/06/2020