Provider Demographics
NPI:1538292677
Name:MONTESINOS ROIG, TERESA (MD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:MONTESINOS ROIG
Suffix:
Gender:F
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 2891
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2891
Mailing Address - Country:US
Mailing Address - Phone:787-834-6985
Mailing Address - Fax:787-805-2222
Practice Address - Street 1:59 CALLE VIRGINIA
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-3820
Practice Address - Country:US
Practice Address - Phone:787-834-6985
Practice Address - Fax:787-805-2222
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG041515Medicare UPIN