Individual
CORTEZ MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8432 BELLA VISTA PL NW, ALBUQUERQUE, NM 87120-5358
(505) 898-5612
Mailing address
8432 BELLA VISTA PL NW, ALBUQUERQUE, NM 87120-5358
(505) 898-5612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YIE842699108
BLUECROSS BLUESHIELD
NM
Enumeration date
08/01/2016
Last updated
08/01/2016
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