Provider Demographics
NPI:1427151554
Name:MONTALVO, MARIA M (MSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:M
Last Name:MONTALVO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 AVE. ALGARROBO
Mailing Address - Street 2:4A
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6302
Mailing Address - Country:US
Mailing Address - Phone:787-812-3030
Mailing Address - Fax:787-651-4334
Practice Address - Street 1:325 AVE. ALGARROBO
Practice Address - Street 2:4A
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6302
Practice Address - Country:US
Practice Address - Phone:787-812-3030
Practice Address - Fax:787-651-4334
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical