Provider Demographics
NPI:1306040423
Name:MONTANER, LUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:MONTANER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6091
Mailing Address - Street 2:LOIZA STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914-6091
Mailing Address - Country:US
Mailing Address - Phone:787-791-4792
Mailing Address - Fax:
Practice Address - Street 1:383 AVE FD ROOSEVELT
Practice Address - Street 2:THIRD FLOOR (HUMANA)
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2131
Practice Address - Country:US
Practice Address - Phone:787-622-5886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2418208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics