La Montana Physician Group Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

LA MONTANA PHYSICIAN GROUP INC

Practice address

Edificio Tropical Plaza Suite 10
272 Calle Marginal
Hatillo, PR 00659

Phone

(787) 400-8099

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alberto 7873635146 Torres, MD

Title

President

Phone

(787) 363-5146

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1013491760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1612",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO TROPICAL PLAZA SUITE 10",
            "address_2": "272 CALLE MARGINAL",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-400-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MONTANA PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "7873635146",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-363-5146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Nicole Jimenez Rodriguez, SLP
• Obet Jimenez- Ortega, M.D.
• Jaimairis Jimenez
• JL Gonzalez Rodriguez LLC
• Hector Juarbe, M.D.
• La Vida Medical Group Hatillo Corp
• La Vida Medical Group Hatillo Corp (Laboratorio Clinico Los Angeles Medical Group)
• La Vida Medical Group Hatillo PT
• La Vida Medical Group PSC
• Lab Clinico CDT Dr Ferdinando Maldonado

• Point of Service in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Point of Service in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.