Organization Name: | LUIS MONTALVO BONILLA |
NPI Number: | 1760887160 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUIS MONTALVO (PRESIDENT) |
Mailing Address: | 404 Ave. De Diego Arecibo |
State: | PR US |
Postal Code: | 00614 |
Phone Number: | 7878782744 |
Fax Number: | 7878173531 |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
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. |