Luis Eduardo Montalvan-Bustamante, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

950 NW 20TH St
Miami, FL 33127-4622

Phone

(954) 261-2489

NPI assigned

Apr 25, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1992593420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 POND APPLE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322161",
            "telephone_number": "954-261-2489",
            "fax_number": "954-261-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274622",
            "telephone_number": "954-261-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVAN-BUSTAMANTE",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Montalban Caraballo
• Cristina Montalenti
• Laura Montalvan Garcia
• Miguel Angel Montalvan Santiago
• Greter Montalvan Valdivies
• Candida Montalvan-Castro, PHARM- D
• Daisy Montalvan
• Michelle Montalvan
• Rosa Beatriz Montalvan, MA
• Teresa M Montalvan, OTR/L

• Surgical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.