Individual
DR. VICTOR M MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STATE PSYCHIATRIC HOSPITAL,, CALLE MAGA, BO. MONACILLO, CENTRO MEDICO, SAN JUAN, PR 00907
(787) 766-4646
(787) 296-2409
Mailing address
P.O. BOX 8208, BAYAMON, PR 00960-8208
(787) 515-8869
(787) 785-1829
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14887
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-2120MO
TRILPE-S HEALTHCARE PLAN
PR
01
—
2011106
PREFERRED HEALTHCRE PLAN
PR
01
—
9560121
HUMANA HEALTH PLAN
PR
Enumeration date
04/20/2006
Last updated
03/21/2013
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