Individual
MARIO MONTALVO
Active
Individual
MARIO MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102205923
VA
207R00000X
Internal Medicine Physician
OS018886
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0102205923
VA
207RP1001X
Pulmonary Disease Physician
Primary
0102205923
VA
208M00000X
Hospitalist Physician
0102205923
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116032549
VA
Other
Enumeration date
05/11/2015
Last updated
08/17/2022
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