Individual provider Active NPI

Guillermo L Montanez Jr., MD

  • Specialist
  • McAllen, TX
National Provider Identifier
1902878721
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H3711 Issued in TX
Practice address
1200 E Savannah Ave
Suite 18
McAllen, TX 78503-1727
Phone
(956) 631-8354
Fax
(956) 631-8441
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H3711 TX Primary

Addresses

Primary practice location

1200 E Savannah Ave
Suite 18
McAllen, TX 78503-1727

Mailing address

PO Box 2105
McAllen, TX 78505-2105
Phone (956) 631-8354

Other identifiers 2

IdentifierTypeStateIssuer
135513309MedicaidTX
0071JAOtherTXBC/BS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000317 TX Practitioner - Obstetrics/Gynecology 5991772469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H3711TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1902878721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2105",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785052105",
            "telephone_number": "956-631-8354",
            "fax_number": "956-631-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH AVE",
            "address_2": "SUITE 18",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031727",
            "telephone_number": "956-631-8354",
            "fax_number": "956-631-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "GUILLERMO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135513309",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "0071JA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.