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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CIDRA MONTANA LLC

NPI # 1700624285
LBN Legal business name CIDRA MONTANA LLC
Authorized official DIEGO VARGAS GONZALEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2024
Last updated 07/19/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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