NPIMap

Organization Active NPI

Centro Quirurgico de la Montana Inc

  • Specialist
  • Cayey, PR
National Provider Identifier
1740413590
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Dr. Luis R. Santiago, M.D.
Title
President
Phone
(787) 535-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10 PR Primary

Addresses

Primary practice location

174 Calle Luis Barreras S
Cayey, PR 00736-4615

Mailing address

PO Box 371358
Cayey, PR 00737-1358
Phone (787) 535-0380

Other identifiers 1

IdentifierTypeStateIssuer
10OtherPRLICENSE

Other names 1

  • GRUPO DE CIRUJANOS CQM Former legal business name

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1740413590",
    "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": "2009-08-27",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-535-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO DE CIRUJANOS CQM",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GRUPO DE CIRUJANOS CQM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.