Individual provider Active NPI

Evaristo Montalvo, M.D.

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1932411568
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME121148 Issued in FL
Practice address
8353 SW 124TH St Ste 208
Miami, FL 33156-5847
Phone
(786) 250-5607
Fax
(786) 250-5611
NPI assigned
Jul 12, 2010
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME121148 FL Primary

Addresses

Primary practice location

8353 SW 124TH St Ste 208
Miami, FL 33156-5847

Mailing address

8284 SW 179TH Ter
Palmetto Bay, FL 33157-6128
Phone (305) 720-6984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171004003625 FL Practitioner - General Practice 2264757491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8353 SW 124TH St
Miami, FL 33156-5847
Phone (786) 250-5607

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121148FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Emmaar Corp Neurology CurrentSince Jun 24, 2024 Accepting new patients

Locations

8353 SW 124th St
Ste 208
Miami, FL 33156
Phone (305) 235-9078

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCBGDD/Endpoint/BCBGDD

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, 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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1932411568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8284 SW 179TH TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576128",
            "telephone_number": "305-720-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "786-250-5607",
            "fax_number": "786-250-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "EVARISTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME121148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.