Individual
FERNANDO IVAN MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST. SANTA ROSA #1 SAN JUAN GARDENS, SAN JUAN, PR 00926
(787) 766-0075
Mailing address
400 BO. TORTUGO COND. CORDOBA PARK APT. 86, SAN JUAN, PR 00926
(787) 272-6083
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14723
PR
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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