CIDRA MONTANA LLC – NPI #1700624285
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CIDRA MONTANA LLC is a provider located in CAGUAS, PR. NPPES has assigned the NPI number 1700624285 to CIDRA MONTANA LLC on July 18, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jul 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CIDRA MONTANA LLC below.

NPI Profile for
CIDRA MONTANA LLC

NPI Number
1700624285
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CIDRA MONTANA LLC
Primary location
A12 CALLE CORCHADO, ESQ ANGEL L ORTIZ
URB PARADISE
CAGUAS, PR 00726
Phone: (787) 747-0022 Fax:
Mailing address
PO BOX 2010
CAGUAS, PR 00726-2010
Phone: (787) 747-0022 Fax:
Organization Subpart
No
Authorized Official
DIEGO VARGAS GONZALEZ
PRESIDENT
Phone: (787) 747-0022
Updated
Certification Date
Jul 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.