Individual provider Active NPI

Luis A Montalvo

  • Durable Medical Equipment & Medical Supplies
  • Aguada, PR
National Provider Identifier
1710015698
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4478980001 Issued in PR
Practice address
153 Calle Colon
Aguada, PR 00602-3061
Phone
(787) 868-2595
Fax
(178) 786-8142
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4478980001 PR Primary

Addresses

Primary practice location

153 Calle Colon
Aguada, PR 00602-3061

Mailing address

154 Carr 102
Cabo Rojo, PR 00623-3138
Phone (787) 868-2595

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

State licenses

LicenseStateTypeSpecialty
4478980001PRMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a Montalvo Lopez Durable Medical Equipment & Medical Supplies CurrentSince Mar 31, 2024 Accepting new patients
Med Health Hospice Corp CurrentSince Mar 31, 2024 Accepting new patients

Locations

161 Calle Colon
Aguada, PR 00602
Phone (787) 223-6170

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1710015698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CARR 102",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233138",
            "telephone_number": "787-868-2595",
            "fax_number": "787-868-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023061",
            "telephone_number": "787-868-2595",
            "fax_number": "178-786-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "4478980001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.