Individual
LISA MARIA MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
254 CALLE NELSON RAMIREZ, MAYAGUEZ, PR 00682-5846
(787) 464-2441
Mailing address
254 CALLE NELSON RAMIREZ, URB. ENSANCHE RAMIREZ, MAYAGUEZ, PR 00682-5846
(787) 464-2441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2725
PR
1223G0001X
General Practice Dentistry
8493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908869
—
NC
Enumeration date
11/22/2006
Last updated
01/21/2024
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