Organization Active NPI

Luis Montalvo Bonilla

  • Specialist
  • Arecibo, PR
National Provider Identifier
1760887160
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8647 Issued in PR
Legal business name
LUIS MONTALVO BONILLA
Doing business as
Luis Montalvo Bonilla Ocular Services, PSC
Practice address
404 Ave. de Diego
Arecibo, PR 00614
Phone
(787) 878-2744
Fax
(787) 817-3531
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. Luis Montalvo, MD
Title
President
Phone
(787) 878-2744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 8647 PR Primary

Addresses

Primary practice location

404 Ave. de Diego
Arecibo, PR 00614

Mailing address

PO Box 140819
Arecibo, PR 00612
Phone (787) 878-2744

Other names 1

  • Luis Montalvo Bonilla Ocular Services, PSC Doing business as

National Provider Directory

National Provider Directory

Locations

404 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 878-2758

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1760887160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140819",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-878-2744",
            "fax_number": "787-817-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 AVE. DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-878-2744",
            "fax_number": "787-817-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MONTALVO BONILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-878-2744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "8647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luis Montalvo Bonilla Ocular Services, PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.