Provider Demographics
NPI:1750637906
Name:RODRIGUEZ MONTANA, MANUEL ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ALEJANDRO
Last Name:RODRIGUEZ MONTANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S ONEIDA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2551
Mailing Address - Country:US
Mailing Address - Phone:303-471-6418
Mailing Address - Fax:303-757-2209
Practice Address - Street 1:2121 S ONEIDA ST STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2551
Practice Address - Country:US
Practice Address - Phone:303-757-6418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0056804208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics