Individual provider Active NPI

Lilybeth D. Lugo Montalvo, AU.D.

  • Audiologist
  • Cayey, PR
National Provider Identifier
1851968036
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
124 Calle Salvador Brau 154
Hospital Municipal Mariano Rivera Ramos
Cayey, PR 00736-4628
Phone
(787) 705-9060
Fax
(787) 965-5404
NPI assigned
Jun 7, 2021
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X PR Primary

Addresses

Primary practice location

124 Calle Salvador Brau 154
Hospital Municipal Mariano Rivera Ramos
Cayey, PR 00736-4628

Mailing address

Urb. Estancias del Golf #504
Ponce, PR 00730-5762
Phone (505) 316-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211029000025 NM Practitioner - Qualified Audiologist 2466840137 Reassigns benefits to 1 organization
I20230511003351 PR Practitioner - Qualified Audiologist 2466840137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Oct 1, 2021 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 1, 2021 Accepting new patients
Escucha PSC Audiologist CurrentSince Apr 11, 2023 Accepting new patients

Locations

1020 Tijeras Ave NE
Albuquerque, NM 87106
Phone (505) 727-1670

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1851968036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ESTANCIAS DEL GOLF #504",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007305762",
            "telephone_number": "505-316-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CALLE SALVADOR BRAU 154",
            "address_2": "HOSPITAL MUNICIPAL MARIANO RIVERA RAMOS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364628",
            "telephone_number": "787-705-9060",
            "fax_number": "787-965-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO MONTALVO",
        "first_name": "LILYBETH",
        "middle_name": "D.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.