Montiague, Raul Rodriguez
Montiague, Raul Rodriguez is an individual health care provider with primary practice located at 3333 Evergreen Dr Ne , Grand Rapids MI 49525-9493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Montiague, Raul Rodriguez can be contacted via phone (616) 364-4200.Contact Information
Primary practice address
3333 Evergreen Dr Ne
Grand Rapids MI 49525-9493
Phone: (616) 364-4200
Fax: (616) 364-7347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301091372 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34832 | Iowa |
Profile Details
| NPI number | 1700919024 |
|---|---|
| LBN Legal business name | Montiague, Raul Rodriguez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700919024 | NPPES |
| Michigan | Other | RM091372 | BCBS |
| Michigan | Other | M38730025 | BCBS |
| Michigan | Other | 05-0-41-1822-1 | BCBS |
| Michigan | MEDICAID | 1284133 | BCBS |
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