Individual
HUGO D MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35-038671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224308
UNISON
OH
01
—
000000539509
ANTHEM
OH
05
—
0534498
—
OH
01
—
0640004
AETNA
OH
01
—
110009019
RAILROAD MEDICARE
OH
01
—
363853
WELLCARE
OH
01
—
740801
BUCKEYE
OH
01
—
P00428935
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
06/29/2011
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