Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Carlos Santana Montalvo, IDC

Individual provider Independent Duty Corpsman · NPI 1114133113

Mr. Carlos Santana Montalvo, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2700 Adams Ave Ste 209
San Diego, CA 92116-1367
Phone: (619) 647-4599
Fax: (888) 323-3119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4508 Timken Trl, Fort Worth, TX 76137-6144 — (817) 782-5914

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 31862 (CA)
Independent Duty Corpsman Taxonomy 1710I1002X

Record details

NPI number1114133113
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022

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