Active NPI
Roberto Montez
- Occupational Therapy Assistant
- San Juan, TX
National Provider Identifier
1942728456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 210878
- Practice address
- 1205 N Raul Longoria Rd Ste I
San Juan, TX 78589-3721 - Phone
- (956) 782-5800
- Fax
- (956) 782-5802
- NPI assigned
- Sep 5, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 210878 | TX | Primary |
Addresses
Primary practice location
1205 N Raul Longoria Rd Ste I
San Juan, TX 78589-3721
Mailing address
1205 N Raul Longoria Rd Ste I
San Juan, TX 78589-3721
Phone (956) 782-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210878 | Other | TX | TEXAS LICENSE |
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 |
|---|---|---|---|
| 210878 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942728456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N RAUL LONGORIA RD STE I",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893721",
"telephone_number": "956-782-5800",
"fax_number": "956-782-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N RAUL LONGORIA RD STE I",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893721",
"telephone_number": "956-782-5800",
"fax_number": "956-782-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEZ",
"first_name": "ROBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "210878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE",
"identifier": "210878",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.