Active NPI
Guillermo L Montanez Jr., MD
- Specialist
- McAllen, TX
National Provider Identifier
1902878721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H3711
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135513309 | Medicaid | TX | |
| 0071JA | Other | TX | BC/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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081017000317 | TX | Practitioner - Obstetrics/Gynecology | 5991772469 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3711 | TX | MD | Specialist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.