Active NPI
Cristine Marie Santiago Montalvo, M.D.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1316399546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME143677
- Practice address
- 840 Mercy Dr
Orlando, FL 32808-7820 - Phone
- (407) 905-8827
- Fax
- (407) 905-8998
- NPI assigned
- Jul 12, 2016
- Last updated
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21196 | PR | |
| Pediatrics Physician | 208000000X | ME143677 | FL | Primary |
Addresses
Primary practice location
840 Mercy Dr
Orlando, FL 32808-7820
Mailing address
1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213
Other practice location 1
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 407-6094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143677 | FL | MD | Pediatrics Physician |
| 21196 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G a Carmichael Family Health Center, Inc | Current | Accepting new patients | |
| G a Carmichael Family Health Center Inc | Current | Accepting new patients | |
| G a Carmichael Family Health Center, Inc | Current | Accepting new patients |
Locations
1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050
1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531
Interoperability endpoints
- cristine.santiago.p1@direct.gacfhc.nextgenshare.com
- sjccristin@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Canton, MS
- NPI 1801952809
-
- Federally Qualified Health Center (FQHC)
- Greenwood, MS
- NPI 1679298939
-
- Federally Qualified Health Center (FQHC)
- Greenwood, MS
- NPI 1932095718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1316399546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1668 W PEACE ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390465332",
"telephone_number": "601-859-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 MERCY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087820",
"telephone_number": "407-905-8827",
"fax_number": "407-905-8998"
}
],
"practiceLocations": [
{
"address_1": "917 Ave Tito Castro",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "007164717",
"country_code": "US",
"telephone_number": "787-407-6094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO MONTALVO",
"first_name": "CRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "21196",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME143677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.