Montana Medical Clinic-Manuel Hernandez,M.D.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

C5088 Issued in TX

Legal business name

MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D.

Practice address

2415 Montana Ave
El Paso, TX 79903-3605

Phone

(915) 533-3353

Fax

(915) 544-4353

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Hernandez, M.D.

Title

Nuerophychiatry - General Practice

Phone

(915) 533-3353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1336121490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033605",
            "telephone_number": "915-533-3353",
            "fax_number": "915-544-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033605",
            "telephone_number": "915-533-3353",
            "fax_number": "915-544-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "NUEROPHYCHIATRY - GENERAL PRACTICE",
        "authorized_official_telephone_number": "915-533-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "C5088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Monsavaiz
• Jose J. Monsivais, M.D.
• Cristal Montalvo
• Denise Montalvo, LPC, NCC
• Montana Dental, PLLC
• Montana Pediatric Night Clinic PA
• Yvette Monique Montana, FNP-C
• Michelle Josech Montanez Rivera
• Armando Montanez
• Cynthia Montanez, FNP-C

• Preferred Provider Organization in El Paso, TX
• Providers in El Paso, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.