Provider Demographics
NPI:1013078898
Name:MONTALVO, HECTOR JOSE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JOSE
Last Name:MONTALVO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 E 8TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7120
Mailing Address - Country:US
Mailing Address - Phone:956-969-2591
Mailing Address - Fax:956-969-3855
Practice Address - Street 1:1210 E 8TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7120
Practice Address - Country:US
Practice Address - Phone:956-969-2591
Practice Address - Fax:956-969-3855
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD12134OtherBCBS