Annette A Montalvo-Nadal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

546 Issued in PR

Practice address

Tous Soto 150 Esquina Valeriano Munoz
San Lorenzo, PR 00754

Phone

(787) 448-6010

Fax

(787) 736-2465

NPI assigned

Oct 25, 2006

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Lorenzo Vision Center LLC

  • Eyewear Supplier
  • San Lorenzo, PR
  • NPI 1700652237

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1407931082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TOUS SOTO 150 ESQUINA VALERIANO MUNOZ",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-2465",
            "fax_number": "787-736-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TOUS SOTO 150 ESQUINA VALERIANO MUNOZ",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-448-6010",
            "fax_number": "787-736-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO-NADAL",
        "first_name": "ANNETTE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MF Dynamic Billing Corp
• Ruvva Milian, NL, CNC
• Fernando R Miranda-Ramirez, D.M.D.
• MMR Supermarket Inc (Farmacia Don Mode)
• Ivette Margarita Moctezuma, SLP
• Fabiola Montes, RDN, LDN
• Diana Ines Morales Torres, RN
• Noelia Cristina Morales
• Damaris Moran
• Multimed Ambulance LLC

• Optometrist in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.