Active NPI
Dra. Karinell Montalvo Nazario LLC
- Public Health & General Preventive Medicine Physician
- San German, PR
National Provider Identifier
1194489997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karinell M Montalvo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.