Active NPI
Antonio De Jesus Morales Montalvo
- Medical Specialty Clinic/Center
- Bayamon, PR
National Provider Identifier
1508786294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Practice address
- 100 Ave. Laurel, Santa Juanita, Bayamon, PR 00956
Bayamon, PR 00956 - Phone
- (787) 798-3001
- NPI assigned
- Jul 21, 2026
- Last updated
- Jul 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
100 Ave. Laurel, Santa Juanita, Bayamon, PR 00956
Bayamon, PR 00956
Mailing address
Paseo Los Corales II
Calle Mar del Norte 761 Dorado PR 00646
Dorado, PR 00646
Phone (787) 329-6369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1508786294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PASEO LOS CORALES II",
"address_2": "CALLE MAR DEL NORTE 761 DORADO PR 00646",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-329-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE. LAUREL, SANTA JUANITA, BAYAMON, PR 00956",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-798-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES MONTALVO",
"first_name": "ANTONIO",
"middle_name": "DE JESUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.