Active NPI
Edgar Hernandez Montalvo, M.D.
- Nephrology Physician
- Manati, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 19610
- Practice address
- 411 Calle Hernandez Carrion
Manati, PR 00674 - Phone
- (787) 787-5151
- NPI assigned
- Sep 14, 2012
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 19610 | PR | Primary |
Addresses
Primary practice location
411 Calle Hernandez Carrion
Manati, PR 00674
Mailing address
Urb Estancias de Manati
#147 Calle Dorado
Manati, PR 00674
Phone (787) 595-3315
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Manati Professional Plaza Calle Herna
Suite 411
Manati, PR 00674
Phone (787) 854-4120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Servicios Primarios de Salud Inc | Nephrology | Current | Accepting new patients |
| Centro de Servicios Primarios de Salud,Inc. | Current | Accepting new patients | |
| Centro de Servicios Primarios de Salud,Inc. | Current | Accepting new patients | |
| Nefromd PSC. | Nephrology | Past | Accepting new patients |
Locations
3 Calle Antonio Alcazar
Florida, PR 00650
Phone (787) 822-2170
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Florida, PR
- NPI 1104896190
Nephrology
-
- Nephrology Physician
- Corozal, PR
- NPI 1992269302
-
- Community Health Clinic/Center
- Florida, PR
- NPI 1235394305
-
- Radiology Clinic/Center
- Florida, PR
- NPI 1992096176
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manati, PR
- NPI 1861494163
-
dba Doctors' Center Hospital - Orlando Health - Dorado
- General Acute Care Hospital
- Dorado, PR
- NPI 1194480806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033469390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB ESTANCIAS DE MANATI",
"address_2": "#147 CALLE DORADO",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-595-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CALLE HERNANDEZ CARRION",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-787-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ MONTALVO",
"first_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "19610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
- Lorelis Hermina, MD
- Kristean Xiomar Hernandez Hernandez, AUD
- Anaida E Hernandez Lalindez, BA
- Armando Ismael Hernandez Lugo, MD
- Antonella Hernandez Marquez
- Manuel Enrique Hernandez Puig Jr., MD
- Ingrid Hernandez Ramos, PSYD
- Adriana Carolina Hernandez Santini
- Jaime Luis Hernandez Velez, PHARMD
- Arsenio Ramirez Hernandez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.