Individual provider Active NPI

Libertad Montanez, MD

  • Internal Medicine Physician
  • Santurce, PR
National Provider Identifier
1497725378
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5175 Issued in PR
Practice address
Ave Fernandez Juncos
No 1415
Santurce, PR 00910
Phone
(787) 723-7990
Fax
(787) 723-7990
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5175 PR Primary

Addresses

Primary practice location

Ave Fernandez Juncos
No 1415
Santurce, PR 00910

Mailing address

PO Box 14441
San Juan, PR 00916-4441
Phone (787) 723-7990

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
I20110207000791 PR Practitioner - Internal Medicine 8729268834 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1415 Ave Fernandez Juncos
San Juan, PR 00909-2658
Phone (787) 723-7990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5175PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Libertad Montanez Delerme Internal Medicine PastSince Apr 27, 2014 Accepting new patients
Health Centers Detroit Foundation, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1497725378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14441",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164441",
            "telephone_number": "787-723-7990",
            "fax_number": "787-723-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FERNANDEZ JUNCOS",
            "address_2": "NO 1415",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-723-7990",
            "fax_number": "787-723-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "LIBERTAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.