Individual provider Active NPI

Maria Lorena Montalvo, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1700177565
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME111872 Issued in FL
Practice address
2000 Cypress Crossing Dr Ste a
Orlando, FL 32837-8600
Phone
(407) 515-1507
Fax
(727) 310-2214
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME111872 FL
Internal Medicine Physician 207R00000X ME111872 FL Primary

Addresses

Primary practice location

2000 Cypress Crossing Dr Ste a
Orlando, FL 32837-8600

Mailing address

5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780

Other names 1

  • Maria Lorena Montalvo Molina Other name

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
I20121116000395 FL Practitioner - Internal Medicine 0648421842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians
Astha HealthGroup PAC ID 9931589892, 30 clinicians

Practice addresses (Care Compare)

2000 Cypress Crossing Dr
Suite a
Orlando, FL 32837-8600
Phone (407) 515-1507

804 Emmett St
Kissimmee, FL 34741-5434
Phone (407) 785-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC Hospitalist CurrentSince Jan 18, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Astha Health Hospitalist CurrentSince Oct 31, 2024 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Jan 18, 2021 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

804 Emmett St
Kissimmee, FL 34741
Phone (407) 449-4559

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2000 Cypress Crossing Dr
Ste A
Orlando, FL 32837
Phone (407) 515-1507

609 Virginia Dr
Orlando, FL 32803
Phone (407) 841-7730

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1700177565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346327",
            "telephone_number": "727-824-0780",
            "fax_number": "727-310-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CYPRESS CROSSING DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378600",
            "telephone_number": "407-515-1507",
            "fax_number": "727-310-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "MARIA",
        "middle_name": "LORENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME111872",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MONTALVO MOLINA",
            "middle_name": "LORENA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.