| Organization Name: | JUAN F MONTALVO, MD, PA |
| NPI Number: | 1538177134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN F MONTALVO (PRESIDENT) |
| Mailing Address: | 2439 Monarch Dr Suite 3 Laredo |
| State: | TX US |
| Postal Code: | 780456329 |
| Phone Number: | 9567121294 |
| Fax Number: | 9567128130 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 09/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 08/20/2008 |
| NPI Reactivation Date: | 10/04/2010 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | J5618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |