Organization Active NPI

Dra. Karinell Montalvo Nazario LLC

  • Public Health & General Preventive Medicine Physician
  • San German, PR
National Provider Identifier
1194489997
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
DRA. KARINELL MONTALVO NAZARIO LLC
Practice address
Calle Raul Mercado #5 Esquina Estrella
San German, PR 00683
Phone
(787) 381-0432
Fax
(787) 659-7081
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Karinell M Montalvo, MDNPI 1720161268
Title
President
Phone
(787) 381-0432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

Calle Raul Mercado #5 Esquina Estrella
San German, PR 00683

Mailing address

Carr 100 Urb Mansiones Calle Sausalito G8 Buzon 3107
Cabo Rojo, PR 00623
Phone (787) 381-0432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201002642 PR Part B Supplier - Clinic/Group Practice 9335532050 Receives reassigned benefits from 1 practitioner
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Locations

5 Calle Raul Mercado
San German, PR 00683
Phone (787) 381-0432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1194489997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 100 URB MANSIONES CALLE SAUSALITO G8 BUZON 3107",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-381-0432",
            "fax_number": "787-659-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RAUL MERCADO #5 ESQUINA ESTRELLA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-381-0432",
            "fax_number": "787-659-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA. KARINELL MONTALVO NAZARIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "KARINELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-381-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.