Individual provider Active NPI

Jorge R. Ramirez-Montalvo, M.D.

  • Intermediate Emergency Medical Technician
  • Penuelas, PR
National Provider Identifier
1902893381
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
16072 Issued in PR
Practice address
Street Pedro Velazquez No 628
Edif Aurora A9
Penuelas, PR 00624
Phone
(787) 386-2686
NPI assigned
Sep 30, 2005
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 16072 PR Primary

Addresses

Primary practice location

Street Pedro Velazquez No 628
Edif Aurora A9
Penuelas, PR 00624

Mailing address

PO Box 560102
Guayanilla, PR 00656-0102
Phone (787) 835-6423

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
I20051006000162 PR Practitioner - General PracticePractitioner - Diagnostic Radiology 2264457506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Municipio de GuayanillaGroup PAC ID 7113932328, 7 clinicians

Practice addresses (Care Compare)

13 Calle Jose de Diego
Guayanilla, PR 00656-1830
Phone (787) 835-7333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16072PRMDIntermediate Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. CurrentSince May 5, 2019 Accepting new patients
Clinica Yaguez, Inc CurrentSince May 5, 2019 Accepting new patients
Municipio de Guayanilla Current Accepting new patients

Locations

13 Calle Jose de Diego
Guayanilla, PR 00656
Phone (787) 835-5366

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1902893381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560102",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560102",
            "telephone_number": "787-835-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET PEDRO VELAZQUEZ NO 628",
            "address_2": "EDIF AURORA A9",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-386-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-MONTALVO",
        "first_name": "JORGE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "PR",
            "license": "16072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.