Individual provider Active NPI

Wilfredo Vega-Montalvo, MD

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1891703310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0079819 Issued in FL
Practice address
1118 S Orange Avenue
Suite 205
Orlando, FL 32806-1200
Phone
(407) 422-2255
Fax
(407) 839-4659
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0079819 FL Primary

Addresses

Primary practice location

1118 S Orange Avenue
Suite 205
Orlando, FL 32806-1200

Mailing address

1118 S Orange Avenue
Suite 205
Orlando, FL 32806-1200
Phone (407) 422-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0079819FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcura Health, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Medcura Health, Inc. CurrentSince Aug 19, 2024 Accepting new patients

Locations

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891703310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S ORANGE AVENUE",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061200",
            "telephone_number": "407-422-2255",
            "fax_number": "407-839-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S ORANGE AVENUE",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061200",
            "telephone_number": "407-422-2255",
            "fax_number": "407-839-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-MONTALVO",
        "first_name": "WILFREDO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0079819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.