Provider Demographics
NPI:1295767564
Name:MONTES, VICTOR M (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:M
Last Name:MONTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:URB VEREDAS # 594 CAMINO JAZMINES
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-469-5636
Mailing Address - Fax:
Practice Address - Street 1:MARINA PLAZA # 12 CARR. 189 KM 6.3
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-469-5636
Practice Address - Fax:787-608-8885
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR16055208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice