Active NPI
Ernesto T Montalvo-Quinones, O.D.
- Optometrist
- Hato Rey, PR
National Provider Identifier
1316097363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 175
- Practice address
- 524 7D Roosevelt Ave
Plaza Las Americas
Hato Rey, PR 00918 - Phone
- (787) 283-3111
- Fax
- (787) 753-0852
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 175 | PR | Primary |
Addresses
Primary practice location
524 7D Roosevelt Ave
Plaza Las Americas
Hato Rey, PR 00918
Mailing address
524 7D Roosevelt Ave
Plaza Las Americas
Hato Rey, PR 00918
Phone (787) 283-3111
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176 | PR | MD | Counselor |
| 175 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | 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.
-
- Eyewear Supplier
- Ponce, PR
- NPI 1285180414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316097363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 7D ROOSEVELT AVE",
"address_2": "PLAZA LAS AMERICAS",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-283-3111",
"fax_number": "787-753-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 7D ROOSEVELT AVE",
"address_2": "PLAZA LAS AMERICAS",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-283-3111",
"fax_number": "787-753-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO-QUINONES",
"first_name": "ERNESTO",
"middle_name": "T",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.