Provider Demographics
NPI:1366634065
Name:MONTANEZ-LEDUC, AMALYS (MD)
Entity type:Individual
Prefix:DR
First Name:AMALYS
Middle Name:
Last Name:MONTANEZ-LEDUC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8703
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-8703
Mailing Address - Country:US
Mailing Address - Phone:787-468-4708
Mailing Address - Fax:
Practice Address - Street 1:7 CALLE PADRE RIVERA W
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3631
Practice Address - Country:US
Practice Address - Phone:787-468-4708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17437208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCR058AOtherCR058A
PR17437OtherSTATE MEDICAL LICENCE
PR1366634065OtherNPI