Pain Management Medical Services LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN MANAGEMENT MEDICAL SERVICES LLC

Practice address

369 Calle de Diego Ste 509
San Juan, PR 00923-3156

Phone

(787) 536-7792

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Ivan E Montalvo-Otano, MDNPI 1184660789

Title

President

Phone

(917) 523-4235

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan E Montalvo-Otano, MD

  • Pain Medicine (Anesthesiology) Physician
  • Watertown, NY
  • NPI 1184660789
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1962120030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 CALLE PASCAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274718",
            "telephone_number": "917-553-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO STE 509",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233156",
            "telephone_number": "787-536-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "MONTALVO-OTANO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-523-4235",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptops",
            "affiliation": "N",
            "endpointDescription": "computing devices",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "369 Calle De Diego Ste 509",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009233156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yadira I Pagan, AUD.
• Yanira L Pagan, M.D.
• Wilfredo Pagani, M.D.
• Pain Busters
• Pain Busters PR Corporation
• Pal Medico Inc
• Andres Alejandro Palacios Cardona
• Laura Cristina Palacios Hernandez
• Jose Gabriel Palacios-Vallejo, MD
• Adriana C Palacios

• Interventional Pain Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Interventional Pain Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.