Maridalia Montes Lopez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17755 Issued in PR

Practice address

San Juan Bautista Medical Center
Carr 172 (Salida de Caguas a Cidra) Urb. Turabo Gardens
Caguas, PR 00725

Phone

(787) 738-7302

NPI assigned

Oct 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maridalia.monteslopez@4048.securemail.prognocis.com

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.

• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc.

  • Federally Qualified Health Center (FQHC)
  • Caguas, PR
  • NPI 1548321029

  General Practice

  Medicare reassignment NPD
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc

  • Dentist
  • Caguas, PR
  • NPI 1235996216
  NPD
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Caguas, PR
  • NPI 1467043315
  NPD

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1982939492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-738-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN BAUTISTA MEDICAL CENTER",
            "address_2": "CARR 172 (SALIDA DE CAGUAS A CIDRA) URB. TURABO GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-738-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES LOPEZ",
        "first_name": "MARIDALIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montanez Therapy Group
• Alma Enid Montanez, PH
• Glorinet Montanez, MA
• Maria Del Carmen Montanez, MS
• Miliana Montanez
• Hillary Marie Moody-Gonzalez
• Alberto Morales Aponte, PHD
• Dayanira Marie Morales Bernecer
• Adriana Marie Morales Castro
• Leadys Marie Morales Delgado

• General Practice Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.