Individual
JOSE J MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
1024 S PACIFIC ST, LAS VEGAS, NM 87701-3415
(505) 426-2599
(877) 553-1272
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1796
NM
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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