Organization
JUAN F MONTALVO, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN F MONTALVO M.D. (PRESIDENT)
(956) 712-1294
Entity
Organization
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
174400000X
Specialist
Primary
J5618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121317506
—
TX
05
—
216607602
—
TX
Enumeration date
08/03/2006
Last updated
04/19/2022
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