Individual provider Active NPI

Luis M Montalvo, MD

  • Ophthalmology Physician
  • Arecibo, PR
National Provider Identifier
1376639575
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8647 Issued in PR
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000234 PR Practitioner - Ophthalmology 3072654979 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

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

ProcedureNumber of procedures
Cataract surgery467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8647PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
LM Ocular Care, LLC Ophthalmology CurrentSince Nov 1, 2022 Accepting new patients
Centro Oftalmologico de Arecibo Inc Ophthalmology PastSince Dec 1, 2007 Accepting new patients

Locations

404 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 878-2758

Interoperability endpoints

  • Direct secure messaging: lmontalvo@oftalmologicoarecibo.direct.eyemdemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.