Individual provider Active NPI

Amalys Montanez-Leduc, M.D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1366634065
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17437 Issued in PR
Practice address
7 Calle Padre Rivera W
Humacao, PR 00791-3631
Phone
(787) 718-9951
NPI assigned
Aug 16, 2007
Last updated
Jul 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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 17437 PR Primary

Addresses

Primary practice location

7 Calle Padre Rivera W
Humacao, PR 00791-3631

Mailing address

PO Box 8703
Humacao, PR 00792-8703
Phone (787) 468-4708

Other identifiers 3

IdentifierTypeStateIssuer
CR058AOtherPRCR058A
1366634065OtherPRNPI
17437OtherPRSTATE MEDICAL LICENCE

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
I20100122000791 PR Practitioner - General Practice 2466594866 Reassigns benefits to 1 organization
Practice locations: Humacao, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17437PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dra Amalys Montanez Leduc CurrentSince Aug 28, 2025 Accepting new patients

Locations

7 Calle Padre Rivera W
Humacao, PR 00791
Phone (787) 468-4708

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1366634065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8703",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928703",
            "telephone_number": "787-468-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE PADRE RIVERA W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913631",
            "telephone_number": "787-718-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ-LEDUC",
        "first_name": "AMALYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CR058A",
            "identifier": "CR058A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366634065",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENCE",
            "identifier": "17437",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.