Active NPI
Carmen Ivette Montalvo Quiles, M.D.
- General Practice Physician
- Toa Baja, PR
National Provider Identifier
1154541498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14243
- Practice address
- 600 Dr. Hernan Cortes
A la Orden Shopping 102
Toa Baja, PR 00950 - Phone
- (787) 779-1950
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14243 | PR | Primary |
Addresses
Primary practice location
600 Dr. Hernan Cortes
A la Orden Shopping 102
Toa Baja, PR 00950
Mailing address
310 Valles de Torrimar
Guaynabo, PR 00966
Phone (787) 798-8118
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14243 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1154541498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 VALLES DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-798-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 DR. HERNAN CORTES",
"address_2": "A LA ORDEN SHOPPING 102",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00950",
"telephone_number": "787-779-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO QUILES",
"first_name": "CARMEN",
"middle_name": "IVETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.