Active NPI
Luis M Montalvo, MD
- Ophthalmology Physician
- Arecibo, PR
National Provider Identifier
1376639575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 8647
- Practice address
- 404 Dediego Ave
Arecibo, PR 00612 - Phone
- (787) 878-2758
- Fax
- (787) 817-3531
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 3, 2014
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 8647 | PR | Primary |
Addresses
Primary practice location
404 Dediego Ave
Arecibo, PR 00612
Mailing address
PO Box 140819
Arecibo, PR 00614-0819
Phone (787) 878-2758
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
- Ophthalmology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
404 Ave de Diego
Arecibo, PR 00614
Phone (787) 878-2758
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 467 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8647 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LM Ocular Care, LLC | Ophthalmology | Current | Accepting new patients |
| Centro Oftalmologico de Arecibo Inc | Ophthalmology | Past | Accepting new patients |
Locations
404 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 878-2758
Interoperability endpoints
- lmontalvo@oftalmologicoarecibo.direct.eyemdemr.com
- luis.montalvo.p1@direct.vitacare.nextgenshare.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Arecibo, PR
- NPI 1043897283
-
- Ophthalmic Technician/Technologist
- Arecibo, PR
- NPI 1114322963
-
- Ophthalmologic Surgery Clinic/Center
- Arecibo, PR
- NPI 1801916275
Ophthalmology
-
- Eyewear Supplier
- Arecibo, PR
- NPI 1457818767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1376639575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140819",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140819",
"telephone_number": "787-878-2758",
"fax_number": "787-817-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 DEDIEGO AVE",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-878-2758",
"fax_number": "787-817-3531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO",
"first_name": "LUIS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "8647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.