Individual provider Active NPI

Jocelyn Montalvo Ortiz, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Caguas, PR
National Provider Identifier
1750580122
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
17569 Issued in PR
Practice address
Plaza Gatsby Suite 318
Calle Padial # 30
Caguas, PR 00739
Phone
(787) 436-2288
Fax
(952) 213-4356
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17569 PR
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 17569 PR Primary

Addresses

Primary practice location

Plaza Gatsby Suite 318
Calle Padial # 30
Caguas, PR 00739

Mailing address

Urb Sabanera
Camino de la Loma 224
Cidra, PR 00739
Phone (787) 436-2288

Other practice location 1

Edif Professional Ofc 305-B
Centro Medico Menonita Cayey
Cayey, PR 00736
Phone (787) 535-1113

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17569PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1750580122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SABANERA",
            "address_2": "CAMINO DE LA LOMA 224",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-436-2288",
            "fax_number": "952-213-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA GATSBY SUITE 318",
            "address_2": "CALLE PADIAL # 30",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-436-2288",
            "fax_number": "952-213-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Edif Professional Ofc 305-B",
            "address_2": "Centro Medico Menonita Cayey",
            "address_purpose": "LOCATION",
            "city": "Cayey",
            "state": "PR",
            "postal_code": "00736",
            "country_code": "US",
            "telephone_number": "787-535-1113",
            "fax_number": "952-213-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALVO ORTIZ",
        "first_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "17569",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "17569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.