Lisa Maria Montalvo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2725 Issued in PR

Practice address

254 Calle Nelson Ramirez
Mayaguez, PR 00682-5846

Phone

(787) 464-2441

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1972678001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CALLE NELSON RAMIREZ",
            "address_2": "URB. ENSANCHE RAMIREZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006825846",
            "telephone_number": "787-464-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CALLE NELSON RAMIREZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006825846",
            "telephone_number": "787-464-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 Calle Concordia Ste 208",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007171590",
            "country_code": "US",
            "telephone_number": "787-284-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8493",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal C Monagas, M.D.
• Diana Celeste Moni Febles
• Francisco M. Montalvo, M.D.
• Jessica Aimee Montalvo, PH.D.
• Jose E Montalvo Jr.
• Maria M. Montalvo, MSW
• Myrna Montalvo, M.T.
• Cristina Y. Montanez, DMD
• Frami F Montes Velez, MA
• Melinda Montesinos Huerfanos, O.D

• General Practice Dentistry in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.