M M ONTIVEROS MD PA NPI 1962697649

NPI Information

M M ONTIVEROS MD PA is a cardiovascular disease internal medicine in San Antonio, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. M M ONTIVEROS MD PA NPI is 1962697649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 CAMDEN ST
SUITE 102
SAN ANTONIO, TX
ZIP 78215-012
Phone: (210) 281-9800
Fax: (210) 281-1001

The provider's authorized official is Chris Mathis .
The authorized official title is Office Manager and has the following contact phone number (210) 525-1668.

The CLIA number assigned to this NPI record is 45D0995007 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 5/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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