| Doctor Name: | DR. MILAGROS MONTALVO |
| NPI Number: | 1528262011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ACN451 |
| Business Practice Address: | 100 Commercial Dr Keystone Heights, FL - 326566802 |
| Business Phone Number: | 3524736595 |
| Business Fax Number: | 3524736597 |
| Mailing Address: | 1302 River St, PALATKA |
| State: | FL |
| Postal Code: | 321775042 |
| Phone Number: | 3863280108 |
| Fax Number: | 3863251086 |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 12/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |