Provider Demographics
NPI:1457625436
Name:MONTALVO, SONIA I (LPC)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:I
Last Name:MONTALVO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TURABO GARDENS
Mailing Address - Street 2:R20
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-6068
Mailing Address - Country:US
Mailing Address - Phone:787-586-1297
Mailing Address - Fax:
Practice Address - Street 1:R20 CALLE MARIA LUISA CAMPOS
Practice Address - Street 2:TURABO GARDENS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-6068
Practice Address - Country:US
Practice Address - Phone:787-586-1297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional