David Hormoz Kalantar, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11486 Issued in PR

Practice address

7468 Calle Agustin Ramos Calero
Isabela, PR 00662-4800

Phone

(787) 830-6210

Fax

(787) 830-6215

NPI assigned

Jun 7, 2006

Last updated

Dec 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centro Isabelino de Medicina Avanzada Em

  • Clinical Medical Laboratory
  • Isabela, PR
  • NPI 1336289362
  NPD (past)
• Emergency Medicine Group of Arecibo Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1801842661
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1093755332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "address_2": "# 71",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "787-613-5757",
            "fax_number": "787-830-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7468 CALLE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624800",
            "telephone_number": "787-830-6210",
            "fax_number": "787-830-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANTAR",
        "first_name": "DAVID",
        "middle_name": "HORMOZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Tavarez Perez (Laboratorio Clinico Tavarez)
• Christopher William Jimenez Gonzalez, PHARMD
• Elizabeth J Juarbe Barreto, SLP
• Julia Margarita Juarbe, DDS
• Julio a. Torres Izquierdo
• Farzad A. Khazraee, O.D.
• Kyrios Internal Medicine Services
• Lab Clinico Villanueva
• Laboratorio Cardona Lamela, Inc.
• Laboratorio Clinicio Prosalud Isabela PSC (Laboratorio Clinico Prosalud)

• General Practice Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.