Provider Demographics
NPI:1932704327
Name:RECON TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:RECON TECHNOLOGIES, INC.
Other - Org Name:RECON HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-284-2706
Mailing Address - Street 1:3708 LAKESIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5371
Mailing Address - Country:US
Mailing Address - Phone:775-284-2601
Mailing Address - Fax:775-284-2603
Practice Address - Street 1:911 HARVEY WAY STE 200
Practice Address - Street 2:
Practice Address - City:YERINGTON
Practice Address - State:NV
Practice Address - Zip Code:89447-2355
Practice Address - Country:US
Practice Address - Phone:775-284-2706
Practice Address - Fax:775-284-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health