Active NPI
Gabriel Montalvo-Castro, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1851704589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19155
- Practice address
- 66 Calle Santa Cruz
Instituto San Pablo Suite 307
Bayamon, PR 00961 - Phone
- (787) 798-8486
- Fax
- (787) 740-7170
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME141853 | FL | |
| General Practice Physician | 208D00000X | 316085 | NY | |
| General Practice Physician | 208D00000X | 19155 | PR | Primary |
Addresses
Primary practice location
66 Calle Santa Cruz
Instituto San Pablo Suite 307
Bayamon, PR 00961
Mailing address
PO Box 360160
San Juan, PR 00936-0160
Phone (787) 787-5151
Other practice location 1
Hf16 Calle Lizzie Graham
Toa Baja, PR 00949-3634
Phone (293) 578-7795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141853 | FL | MD | General Practice Physician |
| 316085 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrate Community Health System | Current | Accepting new patients | |
| Integrate Community Health System, Inc. | Current | Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients | |
| Psychological Empowerment LLC | Past | Accepting new patients | |
| Ian Family Medicine Inc | Past | Accepting new patients |
Interoperability endpoints
- gabriel.montalvo.1@30885.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Humacao, PR
- NPI 1467674713
-
- Emergency Care Clinic/Center
- Bayamon, PR
- NPI 1316169873
-
- Clinical Medical Laboratory
- Aguadilla, PR
- NPI 1821502519
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cidra, PR
- NPI 1205420346
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1063924876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1851704589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360160",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009360160",
"telephone_number": "787-787-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 CALLE SANTA CRUZ",
"address_2": "INSTITUTO SAN PABLO SUITE 307",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-798-8486",
"fax_number": "787-740-7170"
}
],
"practiceLocations": [
{
"address_1": "Hf16 Calle Lizzie Graham",
"address_purpose": "LOCATION",
"city": "Toa Baja",
"state": "PR",
"postal_code": "009493634",
"country_code": "US",
"telephone_number": "293-578-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTALVO-CASTRO",
"first_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME141853",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "316085",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.