Individual provider Active NPI

Lisandro Montalvo Burke

  • Nephrology Physician
  • Canovanas, PR
National Provider Identifier
1336209063
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13908 Issued in PR
Practice address
Bi Calle 1 Altos Farmacia Medina 2
Villas de Loiza
Canovanas, PR 00729-4116
Phone
(787) 886-3254
Fax
(787) 957-1555
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 13908 PR Primary

Addresses

Primary practice location

Bi Calle 1 Altos Farmacia Medina 2
Villas de Loiza
Canovanas, PR 00729-4116

Mailing address

PO Box 274
Carolina, PR 00986-0274
Phone (787) 886-3254

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
I20051024000609 PR Practitioner - NephrologyPractitioner - Internal Medicine 0446276901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Calle 1 Bloque B1 Altos Farmacia
Villa de Loiza
Canovanas, PR 00729-4116
Phone (787) 886-3254

Hospital & facility affiliations

  • FMC Canovanas Dialysis facility, Canovanas, PR, CCN 402540
  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
  • Doctors Center Hospital Carolina LLC Hospital, Carolina, PR, CCN 400132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13908PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montalvo Nephrology Institute PSC CurrentSince Jun 8, 2016 Accepting new patients
Bio-Medical Applications of Puerto Rico, Inc. PastSince Sep 5, 2021 Accepting new patients

Locations

550 Calle Cuevas Bustamante
San Juan, PR 00918
Phone (787) 209-7233

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1336209063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860274",
            "telephone_number": "787-886-3254",
            "fax_number": "787-957-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BI CALLE 1 ALTOS FARMACIA MEDINA 2",
            "address_2": "VILLAS DE LOIZA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294116",
            "telephone_number": "787-886-3254",
            "fax_number": "787-957-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO BURKE",
        "first_name": "LISANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "13908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.