Individual provider Active NPI

Luarde I. Montano-Soto, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • San Juan, PR
National Provider Identifier
1033213368
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
13964 Issued in PR
Practice address
176 Street Edificio Cupey Plaza
Box 105
San Juan, PR 00926-0000
Phone
(787) 390-9090
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13,964 PR
Clinical Cardiac Electrophysiology Physician 207RC0001X 13964 PR Primary

Addresses

Primary practice location

176 Street Edificio Cupey Plaza
Box 105
San Juan, PR 00926-0000

Mailing address

93 Parque del Rio
Encantada
Trujillo Alto, PR 00976-0000
Phone (787) 390-9090

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090831000432 PR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183778301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

715 Ave Ponce de Leon
San Juan, PR 00917-5032
Phone (787) 777-0170

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13964PRMDClinical Social Worker
13,964PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orv Interventional Cardiology Cardiovascular Disease Past Accepting new patients

Organizations & group practices 2

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 2

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1033213368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PARQUE DEL RIO",
            "address_2": "ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009760000",
            "telephone_number": "787-390-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 STREET EDIFICIO CUPEY PLAZA",
            "address_2": "BOX 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-390-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO-SOTO",
        "first_name": "LUARDE",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13,964",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PR",
            "license": "13964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.