Active NPI
Ciro Alberto Montanez, M.D.
- Specialist
- Largo, MD
National Provider Identifier
1962532507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D14156
- Practice address
- 1300 Mercantile LN
140
Largo, MD 20774-5327 - Phone
- (301) 773-2227
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | D14156 | MD | Primary |
Addresses
Primary practice location
1300 Mercantile LN
140
Largo, MD 20774-5327
Mailing address
1300 Mercantile LN
140
Largo, MD 20774-5327
Phone (301) 773-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090217000148 | DC | Practitioner - General Practice | 5294890745 | Practice locations: Largo, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962532507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN",
"address_2": "140",
"city": "LARGO",
"state": "MD",
"postal_code": "207745327",
"telephone_number": "301-773-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN",
"address_2": "140",
"city": "LARGO",
"state": "MD",
"postal_code": "207745327",
"telephone_number": "301-773-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ",
"first_name": "CIRO",
"middle_name": "ALBERTO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D14156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.