Individual
MARGARITA M ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 CAMDEN ST, SUITE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
(210) 281-1001
Mailing address
311 CAMDEN ST, SUITE 102, SAN ANTONIO, TX 78215-2012
(210) 281-9800
(210) 281-1001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H5196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083HB
BLUE CROSS BLUE SHIELD
TX
05
—
123672105
—
TX
Enumeration date
11/09/2006
Last updated
05/01/2008
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