| Doctor Name: | DR. LUIS I PINEIRO MONTALVO |
| NPI Number: | 1174637102 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 12607 |
| Business Practice Address: | Ave.santos Ortiz Carr.308 Num.20 Cabo Rojo, PR - 006230409 |
| Business Phone Number: | 7878519381 |
| Business Fax Number: | 7872647291 |
| Mailing Address: | Po Box 409, CABO ROJO |
| State: | PR |
| Postal Code: | 006230409 |
| Phone Number: | 7878519361 |
| Fax Number: | 7872647291 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 12607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |