Organization
LA MONTANA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES RAMOS CONDE (PRESIDENT)
(787) 739-4585
Entity
Organization
Contact information
Practice address
42 CALLE ANTONIO R BARCELO, CIDRA, PR 00739
(787) 739-4585
Mailing address
42 CALLE ANTONIO R BARCELO, CIDRA, PR 00739
(787) 739-4585
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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