Centro de Consultoria Medica,CSP
Organization Active NPI Health Service Clinic/Center · Guanica, PR
NPI 1407097744 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1407097744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 16824 (PR)
- Legal business name
- CENTRO DE CONSULTORIA MEDICA,CSP
- Practice address
- SS Rodriguez
57 B
Guanica, PR 00653 - Phone
- (787) 821-6565
- Fax
- (787) 821-6565
- NPI assigned
- Mar 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Juan C Montalvo, M. D.
- Title
- President
- Phone
- (787) 821-6565
Practitioners 1
-
Juan Carlo Montalvo, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190514000252 | PR | Part B Supplier - Clinic/Group Practice | 2961745005 |
Receives reassigned benefits from 1 practitioner Practice locations: Yauco, PR |
National Provider Directory
Locations
57 Calle SS Rodriguez
Guanica, PR 00653
25 Calle Prol 25 de Julio
Yauco, PR 00698
Phone (787) 662-6699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 16824 | PR | Yes |
Addresses
Primary practice location
SS Rodriguez
57 B
Guanica, PR 00653
Mailing address
57 SS Rodriguez
Guanica, PR 00653
Phone (787) 821-6565
Other providers in Guanica, PR
- Yomaira Batista
- Cabo Rojo Dental Group, C.S.P.
- Linda Camacho Pacheco
- Frances Marie Caraballo
- Mariceli Carbonell Morales
- Centro de Diagnostico Y Tratamiento Guanica
- Cintron Ambulance Services LLC
- Waleska Cintron Rodriguez
- Clinica Psicologica Las Mirlas LLC
- Clinica Yaguez Inc
All providers in Guanica, PR · Health Service Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.