Provider Demographics
NPI:1396921169
Name:MONTIAGUE, HILBERT ALADO (RRT,NPS)
Entity type:Individual
Prefix:MR
First Name:HILBERT
Middle Name:ALADO
Last Name:MONTIAGUE
Suffix:
Gender:M
Credentials:RRT,NPS
Other - Prefix:MR
Other - First Name:HILBERT
Other - Middle Name:ALADO
Other - Last Name:MONTIAGUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RRT,NPS
Mailing Address - Street 1:11135 RUSH ST STE H
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3520
Mailing Address - Country:US
Mailing Address - Phone:626-582-1670
Mailing Address - Fax:626-582-1679
Practice Address - Street 1:11135 RUSH ST STE H
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3520
Practice Address - Country:US
Practice Address - Phone:626-582-1670
Practice Address - Fax:626-582-1679
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH22293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1396921169OtherNPI