Organization
NUMENDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS JAVIER MONTALVAN-MIRO MD (PRESIDENT)
(787) 360-6778
Entity
Organization
Contact information
Practice address
#348 CAMINO DEL CUPEY, SABANERA DORADO, DORADO, PR 00646
(787) 360-6778
Mailing address
#348 CAMINO DEL CUPEY, SABANERA DORADO, DORADO, PR 00646
(787) 360-6778
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
17901
PR
207U00000X
Nuclear Medicine Physician
17821
PR
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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