Individual provider Active NPI

Elena M Montalvan Miro, M.D.

  • Dermatology Physician
  • Dorado, PR
National Provider Identifier
1922231919
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18198 Issued in PR
Practice address
D74 Calle B
Dorado, PR 00646-2011
Phone
(787) 400-4851
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 18198 PR Primary

Addresses

Primary practice location

D74 Calle B
Dorado, PR 00646-2011

Mailing address

D74 Calle B
Urb Costa de Oro
Dorado, PR 00646-2011
Phone (787) 400-4851

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
I20140811000658 PR Practitioner - Dermatology 0345467635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Urb Sardinera Beach Calle C
D80
Dorado, PR 00646
Phone (787) 400-4851

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions52
Skin biopsy49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montalvan Miro Dermatology, LLC CurrentSince Jun 30, 2014 Accepting new patients

Organizations & group practices 1

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1922231919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D74 CALLE B",
            "address_2": "URB COSTA DE ORO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462011",
            "telephone_number": "787-400-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D74 CALLE B",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462011",
            "telephone_number": "787-400-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVAN MIRO",
        "first_name": "ELENA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "18198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.