Provider Demographics
NPI:1689141178
Name:MONTEMAYOR, TRIANA (DPT)
Entity Type:Individual
Prefix:MS
First Name:TRIANA
Middle Name:
Last Name:MONTEMAYOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 FIR AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7515
Mailing Address - Country:US
Mailing Address - Phone:956-655-2634
Mailing Address - Fax:
Practice Address - Street 1:508 W INTERSTATE 2 STE 3
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6563
Practice Address - Country:US
Practice Address - Phone:956-510-8777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1278251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist