Individual
HECTOR MARIO MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3020 KINGMAN ST, SUITE B, METAIRIE, LA 70006-6673
(504) 888-3292
(504) 888-3692
Mailing address
3020 KINGMAN ST, SUITE B, METAIRIE, LA 70006-6673
(504) 888-3292
(504) 888-3692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11802R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684398
—
LA
Enumeration date
07/21/2006
Last updated
07/08/2007
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