Active NPI
Sebastian Carrasquillo Montalvo, MD
- Cardiovascular Disease Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME154070
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- HCA Florida Memorial Hospital
- Flagler Hospital
- HCA Florida Orange Park Hospital
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 77.66
- Promoting interoperability
- 70.54
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 22 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME154070 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Heart & Vascular Center, PA | Cardiovascular Disease | Current | Accepting new patients |
| Cardiology Interpreters Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1366795742
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1477887149
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.