Individual provider Active NPI

Dolca Montalvo Lorenzo, MD

  • General Practice Physician
  • Anasco, PR
National Provider Identifier
1316010184
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7987 Issued in PR
Practice address
Calle 65 de Infanteria #51
Anasco, PR 00610-0367
Phone
(787) 826-2607
Fax
(787) 826-2607
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7987 PR Primary

Addresses

Primary practice location

Calle 65 de Infanteria #51
Anasco, PR 00610-0367

Mailing address

PO Box 367
Anasco, PR 00610-0367
Phone (787) 826-2607

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
I20110315000304 PR Practitioner - General Practice 9032391842 Practice locations: Anasco, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7987PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1316010184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100367",
            "telephone_number": "787-826-2607",
            "fax_number": "787-826-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 65 DE INFANTERIA #51",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100367",
            "telephone_number": "787-826-2607",
            "fax_number": "787-826-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO LORENZO",
        "first_name": "DOLCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.