Individual provider Active NPI

Gloria Montalvo

  • Pharmacist
  • Cabo Rojo, PR
National Provider Identifier
1083083232
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3255 Issued in PR
Practice address
Carr 102 Ave Pedro Albizu Campos
Centro Profesional Borinquen
Cabo Rojo, PR 00623-0754
Phone
(787) 458-8103
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3255 PR Primary

Addresses

Primary practice location

Carr 102 Ave Pedro Albizu Campos
Centro Profesional Borinquen
Cabo Rojo, PR 00623-0754

Mailing address

PO Box 754
Cabo Rojo, PR 00623-0754
Phone (787) 458-8103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3255PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1083083232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230754",
            "telephone_number": "787-458-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 102 AVE PEDRO ALBIZU CAMPOS",
            "address_2": "CENTRO PROFESIONAL BORINQUEN",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230754",
            "telephone_number": "787-458-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.