Individual provider Active NPI

Waldo Santiago Montalvo, M.D.

  • Gastroenterology Physician
  • Aguadilla, PR
National Provider Identifier
1386624716
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10425 Issued in PR
Practice address
23 Calle Severiano Cuevas
Aguadilla, PR 00603-5713
Phone
(787) 882-2929
Fax
(787) 882-2929
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10425 PR Primary

Addresses

Primary practice location

23 Calle Severiano Cuevas
Aguadilla, PR 00603-5713

Mailing address

PO Box 633
Cabo Rojo, PR 00623-0633
Phone (787) 882-2929

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
I20110414000307 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 8729262803 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Severiano Cuevas
Suite 23
Aguadilla, PR 00603-5713
Phone (787) 882-2929

Hospital & facility affiliations

  • Hospital San Carlos Borromeo Hospital, Moca, PR, CCN 400111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Upper gastrointestinal (GI) endoscopy for acid reflux38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10425PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Services PSC Gastroenterology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: waldo.santiagomontalvo.p1@direct.vitacare.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1386624716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230633",
            "telephone_number": "787-882-2929",
            "fax_number": "787-819-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CALLE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035713",
            "telephone_number": "787-882-2929",
            "fax_number": "787-882-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO MONTALVO",
        "first_name": "WALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "10425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.