Individual
DR. LUIS JORGE MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
173 CAMINO DEL MONTE, URBANIZACION MIRADERO, HUMACAO, PR 00791-9681
(787) 597-0083
(787) 280-2914
Mailing address
173 CAMINO DEL MONTE, URBANIZACION MIRADERO, HUMACAO, PR 00791-9681
(787) 597-0083
(787) 280-2914
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
5204
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80314MO
TRIPLE S
PR
Enumeration date
04/22/2007
Last updated
07/08/2007
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