Individual provider Active NPI

Victor M Montanez, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1316902299
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14887 Issued in PR
Practice address
State Psychiatric Hospital,
Calle Maga, Bo. Monacillo, Centro Medico
San Juan, PR 00907
Phone
(787) 766-4646
Fax
(787) 296-2409
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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 14887 PR Primary

Addresses

Primary practice location

State Psychiatric Hospital,
Calle Maga, Bo. Monacillo, Centro Medico
San Juan, PR 00907

Mailing address

P.O. Box 8208
Bayamon, PR 00960-8208
Phone (787) 515-8869

Other identifiers 3

IdentifierTypeStateIssuer
9560121OtherPRHUMANA HEALTH PLAN
2-2120MOOtherPRTRILPE-S HEALTHCARE PLAN
2011106OtherPRPREFERRED HEALTHCRE PLAN

Other names 1

  • Victor Martinez Montanez Former name

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
I20031104000394 PR Practitioner - General Practice 7618889031 Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14887PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
GMS Medical Group P S C General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1316902299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8208",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608208",
            "telephone_number": "787-515-8869",
            "fax_number": "787-785-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE PSYCHIATRIC HOSPITAL,",
            "address_2": "CALLE MAGA, BO. MONACILLO, CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-766-4646",
            "fax_number": "787-296-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "9560121",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRILPE-S HEALTHCARE PLAN",
            "identifier": "2-2120MO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTHCRE PLAN",
            "identifier": "2011106",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "MARTINEZ MONTANEZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.