Individual provider Active NPI

Romeo F Montalvo Jr., M.D.

  • Pediatrics Physician
  • Brownsville, TX
National Provider Identifier
1346203502
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E4537 Issued in TX
Practice address
864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551
Phone
(956) 541-8334
Fax
(956) 541-9738
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E4537 TX Primary

Addresses

Primary practice location

864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551

Mailing address

864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551
Phone (956) 541-8334

Other identifiers 6

IdentifierTypeStateIssuer
00HT72OtherTXBCBS OF TEXAS
139506100OtherTXVALLEY HEALTH PLANS
2319479OtherTXAETNA PROVIDER ID
116607OtherTXSUPERIOR CHIP
130462805MedicaidTX
130462802MedicaidTX

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4537TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo F Montalvo Jr MD PA Pediatrics Past Accepting new patients
North Brownsville Childrens Clinic PLLC Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346203502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-541-8334",
            "fax_number": "956-541-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-541-8334",
            "fax_number": "956-541-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "ROMEO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E4537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00HT72",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLANS",
            "identifier": "139506100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2319479",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR CHIP",
            "identifier": "116607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130462805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130462802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.