Provider Demographics
NPI:1386696292
Name:MONTES, SARITA (MD)
Entity type:Individual
Prefix:DR
First Name:SARITA
Middle Name:
Last Name:MONTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CALLE MELAO BUZON 237
Mailing Address - Street 2:HACIENDA MARGARITA
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773
Mailing Address - Country:US
Mailing Address - Phone:787-655-7486
Mailing Address - Fax:
Practice Address - Street 1:BLOQUE M-1-B, AVENIDA CONQUISTADOR
Practice Address - Street 2:URB. VALLE VERDE
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-655-7486
Practice Address - Fax:787-655-7486
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11387208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41091Medicare UPIN
PR0084455Medicare PIN