Organization
PAIN MANAGEMENT MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN E MONTALVO-OTANO MD (PRESIDENT)
(917) 523-4235
Entity
Organization
Contact information
Practice address
369 CALLE DE DIEGO STE 509, SAN JUAN, PR 00923-3156
(787) 536-7792
Mailing address
962 CALLE PASCAL, SAN JUAN, PR 00927-4718
(917) 553-4235
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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