Montoya, Jerry R

Montoya, Jerry R is an individual health care provider with primary practice located at 1501 San Pedro Se , Albuquerque NM 87108-9874. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Montoya, Jerry R can be contacted via phone (505) 265-1711.

Contact Information

Primary practice address
1501 San Pedro Se Albuquerque NM 87108-9874
Fax: (505) 256-2747
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 80-PA011 New Mexico

Profile Details

NPI number 1194788323
LBN Legal business name Montoya, Jerry R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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