Individual provider Active NPI

Sebastian Carrasquillo Montalvo, MD

  • Cardiovascular Disease Physician
  • Gainesville, FL
National Provider Identifier
1013304179
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME154070 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-4392
Phone
(352) 273-9079
Fax
(352) 273-8889
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME154070 FL
Cardiovascular Disease Physician 207RC0000X ME154070 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-4392

Mailing address

3901 University Blvd S Ste 221
Jacksonville, FL 32216-4392
Phone (904) 244-3066

Other practice location 1

3901 University Blvd S Ste 221
Jacksonville, FL 32216-4392
Phone (904) 423-0010

Other practice location 2

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220517001961 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0840540852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Heart and Vascular Center, PAGroup PAC ID 0446404859, 13 clinicians

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

3901 University Blvd S
Suite 221
Jacksonville, FL 32216-4392
Phone (904) 423-0010

400 HLTH PK Blvd
BLDG 2ND
St Augustine, FL 32086-5784
Phone (352) 265-8200

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME154070FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Heart & Vascular Center, PA Cardiovascular Disease CurrentSince Jun 1, 2022 Accepting new patients
Cardiology Interpreters Inc CurrentSince Jun 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

4565 US Highway 17
Ste 106
Fleming Isle, FL 32003
Phone (904) 269-4559

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3901 University Blvd S
Ste 221
Jacksonville, FL 32216
Phone (904) 391-1206

14810 Old Saint Augustine Rd
Ste 210
Jacksonville, FL 32258
Phone (904) 312-9810

6500 Fort Caroline Rd
Ste 4
Jacksonville, FL 32277

3901 University Blvd S
Ste 237
Jacksonville, FL 32216
Phone (904) 732-6300

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

14 Office Park Dr
Ste 1
Palm Coast, FL 32137
Phone (386) 446-2305

351 Town Plaza Ave
Ste 203
Ponte Vedra, FL 32081
Phone (904) 371-8260

70 Turin Ter
Ste 210
St Augustine, FL 32092
Phone (904) 342-8300

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

100 Whetstone Pl
Ste 102
St Augustine, FL 32086
Phone (904) 342-8300

100 Whetstone Pl
Ste 310
St Augustine, FL 32086
Phone (904) 217-7450

Networks

  • FL HMO D-SNP
  • FL PPO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • FL HMO
  • FL HMO C-SNP
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • AL HMO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

  • Direct secure messaging: scarrasquillo160364@direct.shands.ufl.edu

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1013304179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164392",
            "telephone_number": "904-244-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326104392",
            "telephone_number": "352-273-9079",
            "fax_number": "352-273-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 University Blvd S Ste 221",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164392",
            "country_code": "US",
            "telephone_number": "904-423-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASQUILLO MONTALVO",
        "first_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME154070",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME154070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.