Provider Demographics
NPI:1669845251
Name:MONTANEZ, VICTOR EDGAR (ORT)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:EDGAR
Last Name:MONTANEZ
Suffix:
Gender:M
Credentials:ORT
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 668
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-0668
Mailing Address - Country:US
Mailing Address - Phone:787-446-2609
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 9447
Practice Address - Street 2:BO. CALABAZAS
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-9703
Practice Address - Country:US
Practice Address - Phone:787-446-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant