Provider Demographics
NPI:1922001577
Name:MONTES-CARDONA, HUGO (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:
Last Name:MONTES-CARDONA
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 1:735 PONCE DE LEON AVE
Mailing Address - Street 2:TORRE AUXILIO MUTUO SUITE 602
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5028
Mailing Address - Country:US
Mailing Address - Phone:787-764-7998
Mailing Address - Fax:787-281-0931
Practice Address - Street 1:735 PONCE DE LEON AVE
Practice Address - Street 2:TORRE AUXILIO MUTUO SUITE 602
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5028
Practice Address - Country:US
Practice Address - Phone:787-764-7998
Practice Address - Fax:787-281-0931
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3061174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR992019OtherMEDICARE MUCHO MAS
PR6508OtherUNITED HEALTH CARE
PR9190061OtherHUMANA HEALTH CARE
PR220163OtherPREFERRED HEALTH CARE
PR93273OtherTRIPLE S
PRN292OtherFIRST MEDICAL CARE
PRFE0951OtherPAN AMERICAN LIFE INSURAN
PR066376OtherLA CRUZ AZUL DE PR
PR43-03061OtherUIA
PR992019OtherMEDICARE MUCHO MAS
PR93273Medicare ID - Type Unspecified