Active NPI
Centro de Consultoria Medica,CSP
- Health Service Clinic/Center
- Guanica, PR
National Provider Identifier
1407097744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 16824
- 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
- Last updated
- Mar 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan C Montalvo, M. D.
- Title
- President
- Phone
- (787) 821-6565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 16824 | PR | Primary |
Addresses
Primary practice location
SS Rodriguez
57 B
Guanica, PR 00653
Mailing address
57 SS Rodriguez
Guanica, PR 00653
Phone (787) 821-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
57 Calle SS Rodriguez
Guanica, PR 00653
25 Calle Prol 25 de Julio
Yauco, PR 00698
Phone (787) 662-6699
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Yauco, PR
- NPI 1871798264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237248000000",
"number": "1407097744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SS RODRIGUEZ",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-821-6565",
"fax_number": "787-821-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SS RODRIGUEZ",
"address_2": "57 B",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-821-6565",
"fax_number": "787-821-6565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO DE CONSULTORIA MEDICA,CSP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A",
"authorized_official_last_name": "MONTALVO",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-821-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "PR",
"license": "16824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guanica, PR
- Yomaira Batista
- Cabo Rojo Dental Group, C.S.P.
- Linda Camacho Pacheco, MA PSYCHOLOGY
- Frances Marie Caraballo, MSW
- Mariceli Carbonell Morales
- Centro de Diagnostico Y Tratamiento Guanica
- Cintron Ambulance Services LLC
- Waleska Cintron Rodriguez, M.D.
- Clinica Psicologica Las Mirlas LLC
- Clinica Yaguez Inc (Laboratorio Pavia Health Clinic Guanica)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.