Individual provider · Type 1 NPI

Edgar Francisco Montalvo Pena, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1124750401 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

78 Pouch Ter
Staten Island, NY 10305-2704

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124750401

Edgar Francisco Montalvo Pena, MD's National Provider Identifier is 1124750401, issued on Jun 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 15, 2023.