Doctor Name: | DR. ROLANDO MONTEVERDE DOLORIS |
NPI Number: | 1578636528 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10872 |
Business Practice Address: | 163 Calle Betances Bo Paris Mayaguez, PR - 006805401 |
Business Phone Number: | 7873475444 |
Business Fax Number: | 7878310052 |
Mailing Address: | Po Box 1305, MAYAGUEZ |
State: | PR |
Postal Code: | 006811305 |
Phone Number: | 7873475444 |
Fax Number: | 7878310052 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |