Individual provider Active NPI

Luis Montalvo Toledo, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1871945980
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19815 Issued in PR
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

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Colonoscopy31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19815PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.