MEDICARE: ALEXANDRA MONTALVO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	17046	PR

General Provider Information

NPI Number	:	1780521518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MONTALVO LCSW

Provider Business Mailing Address
First Line	:	URB. VISTA AZUL CALLE 33 CASA BB16
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-2604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE QR 22
Second Line	:	URB JARDINES DE ARECIBO
City	:	ARECIBO
State	:	PR
Zip	:	00612-2604
Country	:	US
Telephone Number	:	787-380-1650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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