Active NPI
Luis Montalvo Toledo, M.D.
- General Practice Physician
- Carolina, PR
National Provider Identifier
1871945980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19815
- Practice address
- Policlinica Dr Salvador Ribot Ruiz
Carr 857 KM .4 Bo Canovanillas
Carolina, PR 00987 - Phone
- (787) 776-3840
- NPI assigned
- Jul 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19815 | PR | Primary |
Addresses
Primary practice location
Policlinica Dr Salvador Ribot Ruiz
Carr 857 KM .4 Bo Canovanillas
Carolina, PR 00987
Mailing address
690 Calle Cesar Gonzalez
Cond. Parque de Las Fuentes Apt 2209
San Juan, PR 00918-3901
Phone (787) 405-6186
Other practice location 1
Manati Medical Plz
Calle Francisco Vega Jimenez
Manati, PR 00674-5507
Phone (787) 621-3700
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180326000879 | PR | Practitioner - General Practice | 2961764204 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
C5 Ave Roberto Clemente
Carolina, PR 00985-5405
Phone (787) 850-8787
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19815 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Carolina | Current | Accepting new patients | |
| Midtown Radiology Services Inc | Past | Accepting new patients | |
| Centro de Imagenes del Noreste | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Carolina, PR
- NPI 1750177465
-
- Neuroradiology Physician
- Carolina, PR
- NPI 1215077607
-
- Specialist
- Carolina, PR
- NPI 1144552670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1871945980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 CALLE CESAR GONZALEZ",
"address_2": "COND. PARQUE DE LAS FUENTES APT 2209",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183901",
"telephone_number": "787-405-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "POLICLINICA DR SALVADOR RIBOT RUIZ",
"address_2": "CARR 857 KM .4 BO CANOVANILLAS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-776-3840"
}
],
"practiceLocations": [
{
"address_1": "Manati Medical Plz",
"address_2": "Calle Francisco Vega Jimenez",
"address_purpose": "LOCATION",
"city": "Manati",
"state": "PR",
"postal_code": "006745507",
"country_code": "US",
"telephone_number": "787-621-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTALVO TOLEDO",
"first_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-13",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.