Individual provider Active NPI

Carlos Javier Montalvan-Miro, M.D.

  • Nuclear Imaging & Therapy Physician
  • Caguas, PR
National Provider Identifier
1033391883
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
17821 Issued in PR
Practice address
Consolidated Medical Plaza Suite 101
201 Ave. Gautier Benitez
Caguas, PR 00725
Phone
(787) 744-5278
NPI assigned
Dec 4, 2007
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17821 PR
Nuclear Imaging & Therapy Physician 207UN0902X 17821 PR Primary

Addresses

Primary practice location

Consolidated Medical Plaza Suite 101
201 Ave. Gautier Benitez
Caguas, PR 00725

Mailing address

PO Box 6960
Caguas, PR 00726-6960
Phone (787) 744-5278

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
I20110324000025 PR Practitioner - Nuclear MedicinePractitioner - Internal Medicine 8123201423 Reassigns benefits to 5 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Center Hospital IncGroup PAC ID 7810088796, 20 clinicians
Instituto Medico del Norte IncGroup PAC ID 5597728816, 6 clinicians

Practice addresses (Care Compare)

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone (787) 854-3322

PO Box
Suite 30532
Manati, PR 00674-8513

Road 2 KM 39
Centro Medico Wilma N Vazquez
Vega Baja, PR 00693-4661
Phone (787) 858-1580

State Rd No 2 KM
Suite 7
Manati, PR 00674-8513

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susoni Health Community Services Corp CurrentSince Aug 6, 2019 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Apr 26, 2014 Accepting new patients
SHC Owner LLC CurrentSince Apr 7, 2023 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Apr 26, 2014 Accepting new patients
Doctors Center Hospital Inc CurrentSince Jan 12, 2013 Accepting new patients
Doctors Center Hospital Bayamon Inc CurrentSince Jan 12, 2013 Accepting new patients
Dr Susoni Health Community Services Corp CurrentSince Aug 6, 2019 Accepting new patients
Numendo Past Accepting new patients

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1033391883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6960",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266960",
            "telephone_number": "787-744-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MEDICAL PLAZA SUITE 101",
            "address_2": "201 AVE. GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVAN-MIRO",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17821",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "PR",
            "license": "17821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.