Individual provider Active NPI

Lourdes Montano Rivera, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1457460131
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10081 Issued in PR
Practice address
Ave Barbosa #66
Arecibo Medical Plaza Suite 202
Arecibo, PR 00612-0000
Phone
(787) 878-5746
Fax
(787) 878-5746
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10081 PR Primary

Addresses

Primary practice location

Ave Barbosa #66
Arecibo Medical Plaza Suite 202
Arecibo, PR 00612-0000

Mailing address

PO Box 142427
Arecibo, PR 00614-2427
Phone (787) 878-5746

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120104000322 PR Practitioner - General Practice 3375719800 Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10081PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1457460131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142427",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142427",
            "telephone_number": "787-878-5746",
            "fax_number": "787-878-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BARBOSA #66",
            "address_2": "ARECIBO MEDICAL PLAZA SUITE 202",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-878-5746",
            "fax_number": "787-878-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO RIVERA",
        "first_name": "LOURDES",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.