Organization Active NPI

Sukari Daktari Consultants CSP

  • Endocrinology, Diabetes & Metabolism Physician
  • Ponce, PR
National Provider Identifier
1871007039
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
11897 Issued in PR
Legal business name
SUKARI DAKTARI CONSULTANTS CSP
Practice address
2431 Blvd Luis a Ferre Ste 303
Ponce, PR 00717-2116
Phone
(787) 844-5177
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Authorized official

Name
Dr. Jose A. Montalvo, MD FACE
Title
Presidente
Phone
(787) 844-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 11897 PR Primary

Addresses

Primary practice location

2431 Blvd Luis a Ferre Ste 303
Ponce, PR 00717-2116

Mailing address

PO Box 538
Mercedita, PR 00715-0538
Phone (787) 844-5177

Other practice location 1

308 Torre San Cristobal
Coto Laurel, PR 00780-2856
Phone (787) 844-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181003000505 PR Part B Supplier - Clinic/Group Practice 2961754924 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

308 Torre San Cristobal
Coto Laurel, PR 00780

2431 Blvd Luis a Ferre
Ste 303
Ponce, PR 00717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668902400000",
    "number": "1871007039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150538",
            "telephone_number": "787-844-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BLVD LUIS A FERRE STE 303",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172116",
            "telephone_number": "787-844-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Torre San Cristobal",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802856",
            "country_code": "US",
            "telephone_number": "787-844-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUKARI DAKTARI CONSULTANTS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-844-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACE"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "11897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2022; 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.