NPI
Juan Jose Montoya Novoa
NPI 1053046714
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2022-07-18
- Last updated
- 2025-09-24
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Specialties
Licenses
- License MI
- 4301514500
Location
- Practice location
- 114 N Main St
- City
- Ithaca MI
- Postal code
- 48847-1132
- Phone
- (989) 875-4166
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Ithaca, MI. 87 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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