Sara Ivelisse Montalvo Medina, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

18757 Issued in PR

Practice address

2A-21 53 Street
Urb. Jardines del Caribe
Ponce, PR 00728-2676

Phone

(787) 467-2259

NPI assigned

Sep 26, 2010

Last updated

Aug 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Ponce School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obstetrics and Gynecology Health Center LLC

  • Obstetrics Physician
  • Ponce, PR
  • NPI 1992586481
  Medicare reassignment NPD Authorized official
• Southern Obstetrics and Gynecologic Center, P.S.C.

  • Obstetrics Physician
  • Juana Diaz, PR
  • NPI 1114206315
  Medicare reassignment NPD
• Saint Lukes Memorial Hospital Inc

  dba Hospital San Lucas

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1003125022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A-21 53 STREET",
            "address_2": "URB. JARDINES DEL CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282676",
            "telephone_number": "787-467-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A-21 53 STREET",
            "address_2": "URB. JARDINES DEL CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282676",
            "telephone_number": "787-467-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO MEDINA",
        "first_name": "SARA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "18757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griselly Moll Arce
• Jesus Monasterio, M.D.,FACS
• Paola Maria Alejandra Mongil Lomba
• Miguel Antonio Monllor Pacheco
• Anaira Lyn Mont
• Diego Javier Montalvo Morales
• Joseph Luis Montalvo Nieves Jr., DMD
• Ana Margarita Montalvo Reina
• Michael Montalvo Rivera
• Jose A Montalvo-Figueroa, MD FACE

• Obstetrics & Gynecology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.