Individual
MRS. EMMA P MONTANEZ
Active
Individual
MRS. EMMA P MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24841
NV
207R00000X
Internal Medicine Physician
D0079620
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03029353
AMERICAID
MD
05
—
1164414298
—
NV
01
—
1225902
USA
MD
01
—
24841
STATE LICENSE
NV
01
—
305127
JOHNS HOPKINS EHP
MD
01
—
3741957
CIGNA/GREAT WEST/BRAVO/ELDERHEALTH
MD
01
—
524002
AETNA/PRUDENTIAL HMO
MD
01
—
7449511
AETNA/PRUDENTIAL NON-HMO
MD
05
—
854003800
—
MD
01
—
BV89-0001
CAREFIRST/BC-BS
MD
Enumeration date
08/16/2005
Last updated
03/04/2024
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