Active NPI
Cristina Pagan-Montalvo, BS, MS, PHARMD
- Pharmacy
- Mayaguez, PR
National Provider Identifier
1194236448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 6480
- Practice address
- 2097 Ave Hostos
Mayaguez, PR 00682-6440 - Phone
- (787) 805-4805
- Fax
- (787) 805-4510
- NPI assigned
- Oct 13, 2017
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 6480 | PR | Primary |
Addresses
Primary practice location
2097 Ave Hostos
Mayaguez, PR 00682-6440
Mailing address
2097 Ave Hostos
Mayaguez, PR 00682-6440
Phone (787) 805-4805
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
- Credentials
- Bachelor of Science, Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6480 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Mayaguez, PR
- NPI 1447266846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1194236448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 AVE HOSTOS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826440",
"telephone_number": "787-805-4805",
"fax_number": "787-805-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 AVE HOSTOS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826440",
"telephone_number": "787-805-4805",
"fax_number": "787-805-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN-MONTALVO",
"first_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "BS, MS, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PR",
"license": "6480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.