| Carlos Javier Montalvan-miro, MD | |
|
Consolidated Medical Plaza Suite 101, 201 Ave. Gautier Benitez, Caguas, PR 00725 | |
| (787) 744-5278 | |
| Not Available |
| Full Name | Carlos Javier Montalvan-miro |
|---|---|
| Gender | Male |
| Speciality | Nuclear Medicine |
| Experience | 25 Years |
| Location | Consolidated Medical Plaza Suite 101, Caguas, Puerto Rico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033391883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17821 (Puerto Rico) | Secondary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 17821 (Puerto Rico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors' Center Hospital, Inc | Manati, PR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Center Hospital Inc | 7810088796 | 19 |
| Instituto Medico Del Norte Inc | 5597728816 | 6 |
| Entity Name | Dr Susoni Health Community Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972531218 PECOS PAC ID: 6406828706 Enrollment ID: O20041207000555 |
| Entity Name | Instituto Medico Del Norte Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154309169 PECOS PAC ID: 5597728816 Enrollment ID: O20061116000444 |
| Entity Name | Doctors Center Hospital Bayamon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912992553 PECOS PAC ID: 8123024056 Enrollment ID: O20110816000814 |
| Entity Name | Doctors Center Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861494163 PECOS PAC ID: 7810088796 Enrollment ID: O20110817000419 |
| Entity Name | Shc Owner, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194480806 PECOS PAC ID: 0446644934 Enrollment ID: O20230720000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Javier Montalvan-miro, MD Po Box 6960, Caguas, PR 00726-6960 Ph: (787) 744-5278 | Carlos Javier Montalvan-miro, MD Consolidated Medical Plaza Suite 101, 201 Ave. Gautier Benitez, Caguas, PR 00725 Ph: (787) 744-5278 |