Egidio Montanile, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0039 Issued in PR

Practice address

1413 Fernadez Juncos Ave.
Suite 1a
Santurce, PR 00909

Phone

(787) 724-0871

Fax

(787) 724-0886

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By 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 PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Podiatry Center, PSC

  • Foot Surgery Podiatrist
  • Santurce, PR
  • NPI 1023013653
  Medicare reassignment NPD
• Afsc of San Juan, PSC

  • Ambulatory Surgical Clinic/Center
  • San Juan, PR
  • NPI 1730582792
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184705568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19657",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101657",
            "telephone_number": "787-724-0871",
            "fax_number": "787-724-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 FERNADEZ JUNCOS AVE.",
            "address_2": "SUITE 1A",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-724-0871",
            "fax_number": "787-724-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANILE",
        "first_name": "EGIDIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PR",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Salgado Mitchell, MD
• MJ Imaging, LLC
• Joaquin E Mojica Santiago, M.D.
• Gabriel Antonio Molina-Arroyo, DPM
• Libertad Montanez, MD
• Municipio de San Juan (Progra Mas Salud Al Deambulante)
• Avid J Muniz, M.D.
• Roberto Munoz-Marin, M.D.
• Maria Raquel Munoz, D.M.D.
• Jose R Nadal, MD

• Foot Surgery Podiatrist in Santurce, PR
• Providers in Santurce, PR by specialty
• Foot Surgery Podiatrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.