Active NPI
Lisandro Montalvo Burke
- Nephrology Physician
- Canovanas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13908
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- 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
- Auxilio Mutuo Hospital
- Doctors Center Hospital Carolina LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13908 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montalvo Nephrology Institute PSC | Current | Accepting new patients | |
| Bio-Medical Applications of Puerto Rico, Inc. | Past | 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.
-
- Specialist
- Canovanas, PR
- NPI 1265692412
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canovanas, PR
- NPI 1255509048
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carolina, PR
- NPI 1255736187
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.