Provider Demographics
NPI:1942480272
Name:MONTANA, MONICA I (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:I
Last Name:MONTANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:422 CALLE DAGUAO APT 1208
Mailing Address - Street 2:CONDOMINIO MONTECENTRO
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7866
Mailing Address - Country:US
Mailing Address - Phone:787-354-9289
Mailing Address - Fax:
Practice Address - Street 1:135-12 CALLE 401
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4006
Practice Address - Country:US
Practice Address - Phone:787-998-8858
Practice Address - Fax:787-998-8858
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-03
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16924208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice