Individual
DR. CARLOS E MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23479
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234797
—
SC
01
—
P00166936
RAILROAD MEDICARE
SC
Enumeration date
05/09/2006
Last updated
11/07/2008
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