Provider Demographics
NPI:1568299782
Name:MONTALVO, ONEL ROBERTO SR (BSC, CPC, MLS)
Entity type:Individual
Prefix:MR
First Name:ONEL
Middle Name:ROBERTO
Last Name:MONTALVO
Suffix:SR
Gender:M
Credentials:BSC, CPC, MLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 SW 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-8615
Mailing Address - Country:US
Mailing Address - Phone:786-345-6991
Mailing Address - Fax:305-403-9787
Practice Address - Street 1:4925 SW 26TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-8615
Practice Address - Country:US
Practice Address - Phone:786-345-6991
Practice Address - Fax:305-403-9787
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor