Centro Quirurgico de la Montana Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10 Issued in PR

Legal business name

CENTRO QUIRURGICO DE LA MONTANA INC

Practice address

174 Calle Luis Barreras S
Cayey, PR 00736-4615

Phone

(787) 535-0380

Fax

(787) 535-0363

NPI assigned

May 31, 2006

Last updated

Mar 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilmarie Soto

Title

Administrator

Phone

(787) 535-0380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

Enrollment records 2

Tax ID family

Centro Quirurgico de la Montana Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Centro Quirurgico de la Montana Inc

  • Specialist
  • Cayey, PR
  • NPI 1740413590
  NPD tax ID
• Centro Quirurgico de la Montana Inc.

  • Anesthesiology Physician
  • Cayey, PR
  • NPI 1649485103
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicolas Betancourt-Gomez, MD

  • Anesthesiology Physician
  • Cayey, PR
  • NPI 1649226465
  Medicare reassignment NPD
• Eduardo Ibarra, MD

  • Pain Medicine (Anesthesiology) Physician
  • Aibonito, PR
  • NPI 1871539932
  Medicare reassignment NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1730126970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371358",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371358",
            "telephone_number": "787-535-0380",
            "fax_number": "787-535-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CALLE LUIS BARRERAS S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364615",
            "telephone_number": "787-535-0380",
            "fax_number": "787-535-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO QUIRURGICO DE LA MONTANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "WILMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-535-0380"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Neurologico de Cayey, C.S.P.
• Centro Oncologico de Cayey L.L.C.
• Centro Optico Cayey Corp.
• Centro Pulmonar de la Montana, PSC
• Centro Quiropractico Familiar de Cayey
• Centro Quirurgico de la Montana Inc
• Centro Quirurgico de la Montana Inc.
• Centro Tu Bienestar
• Cfse Cayey
• Irvin Joel Cheverez Santiago

• Ambulatory Surgical Clinic/Center in Cayey, PR
• Providers in Cayey, PR by specialty
• Ambulatory Surgical Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.