Individual provider Active NPI

Milagros Montalvo, M.D.

  • General Practice Physician
  • Keystone Heights, FL
National Provider Identifier
1528262011
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN451 Issued in FL
Practice address
100 Commercial Dr
Keystone Heights, FL 32656-6802
Phone
(352) 473-6595
Fax
(352) 473-6597
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 ACN451 FL Primary

Addresses

Primary practice location

100 Commercial Dr
Keystone Heights, FL 32656-6802

Mailing address

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170502002038 FL Practitioner - General Practice 1850538828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Rural Health Care IncorporatedGroup PAC ID 7214849520, 29 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

100 Commercial Dr
Keystone Heights, FL 32656-6802
Phone (352) 473-6595

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371

22066 SE 71St Ave
Hawthorne, FL 32640-3969
Phone (352) 481-2700

PO Box
Melrose, FL 32666-1099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated CurrentSince Feb 20, 2017 Accepting new patients
Rural Health Care Incorporated General Practice Current Accepting new patients
Rural Health Care, Inc. CurrentSince Feb 20, 2017 Accepting new patients

Locations

22066 SE 71st Ave
Hawthorne, FL 32640
Phone (352) 481-2700

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

Organizations & group practices 12

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1528262011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-0108",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCIAL DR",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326566802",
            "telephone_number": "352-473-6595",
            "fax_number": "352-473-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keystone Heights, FL

Sources for this page

Verify at the official NPI Registry.