Provider Demographics
NPI:1932925583
Name:MONTE, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:MONTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 MONTANO PLAZA DR NW APT 4G
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2471
Mailing Address - Country:US
Mailing Address - Phone:505-917-2832
Mailing Address - Fax:
Practice Address - Street 1:6000 MONTANO PLAZA DR NW APT 4G
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2471
Practice Address - Country:US
Practice Address - Phone:505-917-2832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider