Lisandro Montalvo, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4202 Issued in PR

Practice address

512A Calle Juan J Jimenez
Urb. Parque Central
San Juan, PR 00918-2605

Phone

(787) 764-4942

Fax

(787) 731-9198

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

NephrologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlantis Guaynabo II Dialysis facility, Guaynabo, PR, CCN 402555

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Montalvo Nephrology Institute PSC

  • Specialist
  • Canovanas, PR
  • NPI 1265692412
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881761195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALLE REINA ISABEL",
            "address_2": "URB. LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693278",
            "telephone_number": "787-764-4536",
            "fax_number": "787-754-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512A CALLE JUAN J JIMENEZ",
            "address_2": "URB. PARQUE CENTRAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182605",
            "telephone_number": "787-764-4942",
            "fax_number": "787-731-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "LISANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Ivan Montalvo, MD
• Gary George Montalvo, MD
• Jorge J Montalvo, MD
• Lillian Marie Montalvo, M.D.
• Lilybett Montalvo, M.D.
• Zaida Montalvo
• Luis F Montaner, MD
• Jose M Montanez Huertas, MD
• Fatima Montanez, LPN
• Japhelid Montanez, MSW

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.