Individual
DR. ELIZAMA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-1163
(787) 848-1306
Mailing address
HC 7 BOX 25877, PONCE, PR 00731-9670
(845) 270-4234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
164035
NY
207Q00000X
Family Medicine Physician
Primary
8834
PR
Other
Enumeration date
10/03/2006
Last updated
03/18/2008
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