Individual provider Active NPI

Luis I Pineiro Montalvo, M.D.

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1174637102
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
012607 Issued in PR
Practice address
Ave.Santos Ortiz Carr.308 Num.20
Cabo Rojo, PR 00623-0409
Phone
(787) 851-9381
Fax
(787) 264-7291
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 12607 PR
General Practice Physician 208D00000X 012607 PR Primary

Addresses

Primary practice location

Ave.Santos Ortiz Carr.308 Num.20
Cabo Rojo, PR 00623-0409

Mailing address

PO Box 409
Cabo Rojo, PR 00623-0409
Phone (787) 851-9361

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
I20060830000420 PR Practitioner - General Practice 5294739496 Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Galeria 100
Suite 6
Cabo Rojo, PR 00623
Phone (787) 851-9381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012607PRMDGeneral Practice Physician
12607PRMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
L.I.P.Health Services,Corp Past Accepting new patients
Southwest Health Corp Hospital Metropolitano San German PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1174637102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230409",
            "telephone_number": "787-851-9361",
            "fax_number": "787-264-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE.SANTOS ORTIZ CARR.308 NUM.20",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230409",
            "telephone_number": "787-851-9381",
            "fax_number": "787-264-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEIRO MONTALVO",
        "first_name": "LUIS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "12607",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "012607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.