Provider Demographics
NPI:1861052177
Name:MONTANO, APRIL (RT(R))
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:MONTANO
Suffix:
Gender:F
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7208 RELAMPAGO ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1501
Mailing Address - Country:US
Mailing Address - Phone:505-289-6563
Mailing Address - Fax:
Practice Address - Street 1:1804 JUNE ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-3146
Practice Address - Country:US
Practice Address - Phone:505-289-6563
Practice Address - Fax:505-332-9825
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5204742471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography