Jorge J Montalvo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

019816 Issued in PR

Practice address

#125 Calle Carite Esq. Ave. Parana Local 2
Urb. Crown Hills, Bo. Monacillo
San Juan, PR 00926

Phone

(787) 674-4124

NPI assigned

Dec 19, 2017

Sex

Male

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Clinica Sanamed LLC

  • General Practice Physician
  • San Juan, PR
  • NPI 1861167124
  Medicare reassignment NPD Authorized official
• Physician H.M.O. Inc.

  • Intermediate Emergency Medical Technician
  • San Juan, PR
  • NPI 1730481649
  Medicare reassignment NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1437665064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SUMMIT HILLS",
            "address_2": "GREENWOOD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-674-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#125 CALLE CARITE ESQ. AVE. PARANA LOCAL 2",
            "address_2": "URB. CROWN HILLS, BO. MONACILLO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-674-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "JORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edelmiro Montalvo-Caban, C.M.T., C.L.T.
• Luis F. Montalvo-Sanchez, M.D.
• Alan Shamir Montalvo
• Fernando Ivan Montalvo, MD
• Gary George Montalvo, MD
• Lillian Marie Montalvo, M.D.
• Lilybett Montalvo, M.D.
• Lisandro Montalvo, M.D.
• Zaida Montalvo
• Luis F Montaner, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.