Individual provider Active NPI

Juan F Montalvo, M.D.

  • Obstetrics & Gynecology Physician
  • Laredo, TX
National Provider Identifier
1447268016
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J5618 Issued in TX
Practice address
10410 Medical Loop BLDG 3B
Laredo, TX 78045-6672
Phone
(956) 712-1294
Fax
(956) 712-8130
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J5618 TX Primary

Addresses

Primary practice location

10410 Medical Loop BLDG 3B
Laredo, TX 78045-6672

Mailing address

10410 Medical Loop BLDG 3B
Laredo, TX 78045-6672
Phone (956) 712-1294

Other identifiers 2

IdentifierTypeStateIssuer
TXB114525OtherTXMEDICARE PTAN
121317506MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101222000507 TX Practitioner - Obstetrics/Gynecology 2062600760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10410 Medical Loop
BLDG 3B
Laredo, TX 78045-6672
Phone (956) 712-1294

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Juan F Montalvo, MD, PA CurrentSince Nov 3, 2010 Accepting new patients
Laredo Physicians Group Past Accepting new patients
Doctors Hospital of Laredo Past Accepting new patients

Locations

6423 McPherson Rd
Ste 13
Laredo, TX 78041
Phone (956) 452-1457

2439 Monarch Dr
Unit 3
Laredo, TX 78045
Phone (956) 489-5050

10410 Medical Loop
Bldg 3B
Laredo, TX 78045
Phone (956) 523-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1447268016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP BLDG 3B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456672",
            "telephone_number": "956-712-1294",
            "fax_number": "956-712-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP BLDG 3B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456672",
            "telephone_number": "956-712-1294",
            "fax_number": "956-712-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "JUAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J5618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB114525",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121317506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.