Provider Demographics
NPI:1346203502
Name:MONTALVO, ROMEO F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMEO
Middle Name:F
Last Name:MONTALVO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:864 CENTRAL BLVD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7551
Mailing Address - Country:US
Mailing Address - Phone:956-541-8334
Mailing Address - Fax:956-541-9738
Practice Address - Street 1:864 CENTRAL BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7551
Practice Address - Country:US
Practice Address - Phone:956-541-8334
Practice Address - Fax:956-541-9738
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE4537208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00HT72OtherBCBS OF TEXAS
TX139506100OtherVALLEY HEALTH PLANS
TX2319479OtherAETNA PROVIDER ID
TX116607OtherSUPERIOR CHIP
TX130462805Medicaid
TX130462802Medicaid
TX130462802Medicaid