Maritza Lopez-Montalvo, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

14870 Issued in PR

Practice address

8169 Calle Concordia
Cond San Vicente, Suite 211
Ponce, PR 00717-1554

Phone

(787) 843-5420

Fax

(787) 848-5287

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821292525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5103",
            "address_2": "PMB 305",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006235103",
            "telephone_number": "787-314-9418",
            "fax_number": "787-265-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "COND SAN VICENTE, SUITE 211",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171554",
            "telephone_number": "787-843-5420",
            "fax_number": "787-848-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-MONTALVO",
        "first_name": "MARITZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "14870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "14870",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julissa Lopez Santiago, PHD
• Hector Samuel Lopez Vega
• Maylin Yeliksa Lopez-Cortes, M.D.
• Dorimar Lopez-Hernandez
• Alejandro Jose Lopez-Mas, M.D.
• Grisela Lopez-Negron, CPHT
• Dariana Lopez-Rodriguez
• Yma Lopez-Rosado, PSYD
• Anivelisse Lopez
• Bryan Joel Lopez

• Physical Medicine & Rehabilitation Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.