Provider Demographics
NPI:1568862522
Name:MONTES, VICTOR MANUEL (DNP, APRN, NP-C)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:MANUEL
Last Name:MONTES
Suffix:
Gender:M
Credentials:DNP, APRN, NP-C
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:35400 BOB HOPE DR STE 210
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1774
Mailing Address - Country:US
Mailing Address - Phone:760-202-0686
Mailing Address - Fax:760-770-4563
Practice Address - Street 1:35400 BOB HOPE DR STE 210
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1774
Practice Address - Country:US
Practice Address - Phone:760-202-0686
Practice Address - Fax:760-770-4563
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT7325547-4405363LF0000X
UT7325547-8900363LF0000X
CA95001691363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily