Individual
DR. JUAN F MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10410 MEDICAL LOOP BLDG 3B, LAREDO, TX 78045-6672
(956) 712-1294
(956) 712-8130
Mailing address
10410 MEDICAL LOOP BLDG 3B, LAREDO, TX 78045-6672
(956) 712-1294
(956) 712-8130
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J5618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121317506
—
TX
01
—
TXB114525
MEDICARE PTAN
TX
Enumeration date
08/03/2006
Last updated
04/01/2022
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