Cidra Montana LLC

NPI #1700624285 in Caguas, Puerto Rico

Provider Information

NPI Number: 1700624285
Entity Type: Organization
Organization Name: Cidra Montana LLC
Primary Specialty: General Practice
Enumeration Date: Jul 18, 2024
Last Updated: Jul 19, 2024

Practice Location

Address: A12 CALLE CORCHADO, ESQ ANGEL L ORTIZ
Address 2: URB PARADISE
City: Caguas
State: Puerto Rico
ZIP Code: 00726
Phone: (787) 747-0022

Authorized Official

Name: DIEGO D VARGAS GONZALEZ
Title: PRESIDENT
Phone: (787) 747-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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