Active NPI
Israel Montano III, LAT
- Athletic Trainer
- Weslaco, TX
National Provider Identifier
1073029708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4316
- Practice address
- 617 San Benito St
Weslaco, TX 78596-4309 - Phone
- (956) 483-9033
- NPI assigned
- Dec 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4316 | TX | Primary |
Addresses
Primary practice location
617 San Benito St
Weslaco, TX 78596-4309
Mailing address
617 San Benito St
Weslaco, TX 78596-4309
Phone (956) 483-9033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4316 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1073029708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 SAN BENITO ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964309",
"telephone_number": "956-483-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 SAN BENITO ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964309",
"telephone_number": "956-483-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "ISRAEL",
"name_suffix": "III",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
- Jonathan Obed Momplaisir, PT
- Moms Pharmacies Inc (Moms Pharmacy)
- Leonides Monreal, B.S. SLP ASSISTANT
- Alberto Emilio Montalvo, M.D.
- Hector Jose Montalvo, DDS
- Nelda Ann Montano, PA
- Yolanda M Montano, PA-C
- Jacqueline Yvette Montoya, MPAS, PA-C
- Eunice Vanessa Morales, CNM
- Felipe Armando Morales, LPC ASSOCIATE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.