Individual
CARLOS JAVIER MONTALVAN-MIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CONSOLIDATED MEDICAL PLAZA SUITE 101, 201 AVE. GAUTIER BENITEZ, CAGUAS, PR 00725
(787) 744-5278
Mailing address
PO BOX 6960, CAGUAS, PR 00726-6960
(787) 744-5278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17821
PR
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
17821
PR
Other
Enumeration date
12/04/2007
Last updated
11/02/2010
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