National Provider Identifier Database

CIDRA MONTANA LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CIDRA MONTANA LLC
A12 CALLE CORCHADO, ESQ ANGEL L ORTIZ
URB PARADISE
CAGUAS, PR00726
Phone: 787-747-0022
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for CIDRA MONTANA LLC

NPI Number 1700624285
Legal business name
LBN
CIDRA MONTANA LLC
Authorized official DIEGO VARGAS GONZALEZ - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/18/2024
Last updated 07/19/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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