La Montana Physician Group INC

NPI #1013491760 in Hatillo, Puerto Rico

Provider Information

NPI Number: 1013491760
Entity Type: Organization
Organization Name: La Montana Physician Group INC
Primary Specialty: Point of Service
Enumeration Date: Sep 19, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: EDIFICIO TROPICAL PLAZA SUITE 10
Address 2: 272 CALLE MARGINAL
City: Hatillo
State: Puerto Rico
ZIP Code: 00659
Phone: (787) 400-8099

Authorized Official

Name: DR. ALBERTO 7873635146 TORRES, MD
Title: PRESIDENT
Phone: (787) 363-5146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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