Roberto Montoya, M. D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

E4905 Issued in TX

Practice address

1810 Nantucket Dr
Houston, TX 77057-2912

Phone

(713) 907-4456

Fax

(281) 833-3323

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1174517254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "713-907-4456",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NANTUCKET DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572912",
            "telephone_number": "713-907-4456",
            "fax_number": "281-833-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "E4905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00AB79",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031816401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4010731",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charissa Riojas Montoya, FNP-C
• Jordan Montoya, FNP
• Juan Pablo Montoya, M.D.
• Juan Salvador Montoya Jr., CRNA
• Monica Lynn Montoya, D.C.
• Taily Montoya
• Courtney Michelle Montreuil, M.S., L-SLP, CCC-SLP
• Montrose Counseling Center, Inc.
• Montrose DDS PLLC
• Montrose Dental and Orthodontic Studio

• Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.