Provider Demographics
NPI:1396299913
Name:MONTES, RICARDO SR (BSW)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:
Last Name:MONTES
Suffix:SR
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 CALLE BALEARES
Mailing Address - Street 2:URB. PUERTO NUEVO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-5323
Mailing Address - Country:US
Mailing Address - Phone:787-496-0818
Mailing Address - Fax:787-982-6464
Practice Address - Street 1:1503 CALLE PROF AUGUSTO RODRIGUEZ
Practice Address - Street 2:ASIA BLDG. SUITE 600
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2275
Practice Address - Country:US
Practice Address - Phone:787-496-0818
Practice Address - Fax:787-982-6464
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No251B00000XAgenciesCase Management