Individual provider Active NPI

Efrain E. Montanez Morales, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Cayey, PR
National Provider Identifier
1750707832
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3230 Issued in PR
Practice address
20 Ave Antonio R Barcelo
Plaza Empresarial Municipal Suite 209
Cayey, PR 00736
Phone
(787) 635-5050
NPI assigned
Mar 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3230 PR
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 3230 PR
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3230 PR Primary

Addresses

Primary practice location

20 Ave Antonio R Barcelo
Plaza Empresarial Municipal Suite 209
Cayey, PR 00736

Mailing address

PO Box 3172
Bayamon, PR 00960
Phone (787) 269-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20190903001901 PR Practitioner - Maxillofacial SurgeryPractitioner - Dentist 2769711639 Reassigns benefits to 1 organization
Practice locations: Cayey, PR; Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Surgical LLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

20 Ave Antonio R Barcelo
Ste 209
Cayey, PR 00736
Phone (787) 635-5050

Organizations & group practices 1

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1750707832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3172",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-269-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AVE ANTONIO R BARCELO",
            "address_2": "PLAZA EMPRESARIAL MUNICIPAL SUITE 209",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-635-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ MORALES",
        "first_name": "EFRAIN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3230",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PR",
            "license": "3230",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "3230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.