Provider Demographics
NPI:1982315370
Name:FONTANALS CARAVACA, MONTSERRAT (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONTSERRAT
Middle Name:
Last Name:FONTANALS CARAVACA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVENIDA PARALELO 112 2O 1A
Mailing Address - Street 2:
Mailing Address - City:BARCELONA
Mailing Address - State:BARCELONA
Mailing Address - Zip Code:08015
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TEXAS CHILDREN'S HOSPITAL
Practice Address - Street 2:6621 FANNIN STREET
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:416-817-5836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2023-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX48211207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program