Provider Demographics
NPI:1295756690
Name:MONTALVO-SANCHEZ, LUIS F (MD)
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:F
Last Name:MONTALVO-SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:S30 CALLE CALIFORNIA
Mailing Address - Street 2:MAYORCA URB.
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3902
Mailing Address - Country:US
Mailing Address - Phone:787-790-4777
Mailing Address - Fax:
Practice Address - Street 1:500 AVE DOMENECH
Practice Address - Street 2:OFFICE 601
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3736
Practice Address - Country:US
Practice Address - Phone:787-758-0031
Practice Address - Fax:787-758-0031
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6552207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR98419Medicare ID - Type Unspecified
PRD26706Medicare UPIN
PR98419Medicare PIN