Organization Active NPI

Romeo F Montalvo Jr MD PA

  • Pediatrics Physician
  • Brownsville, TX
National Provider Identifier
1760819809
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E4537 Issued in TX
Legal business name
ROMEO F MONTALVO JR MD PA
Practice address
864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551
Phone
(956) 541-8334
Fax
(956) 541-9738
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Romeo F Montalvo Jr., M.D.NPI 1346203502
Title
MD/Owner
Phone
(956) 541-8334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X E4537 TX Primary

Addresses

Primary practice location

864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551

Mailing address

864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551
Phone (956) 541-8334

Other identifiers 6

IdentifierTypeStateIssuer
00HT72OtherTXBCBS OF TEXAS
139506100OtherTXVALLEY HEALTH PLANS
130462805MedicaidTX
130462802MedicaidTX
2319479OtherAETNA HEALTHCARE
116607OtherTXSUPERIOR HEALTHCARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1071065Romeo F Montalvo Jr MD PA864 Central Blvd Suite 2200, Brownsville, TX 78520Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

864 Central Blvd
Ste 2200
Brownsville, TX 78520
Phone (956) 541-8334

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1760819809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-541-8334",
            "fax_number": "956-541-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-541-8334",
            "fax_number": "956-541-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO F MONTALVO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "956-541-8334",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E4537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00HT72",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLANS",
            "identifier": "139506100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130462805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130462802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "2319479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHCARE",
            "identifier": "116607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.