MEDICARE: DR. CARLOS N MONTALVO M.D.

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	207L00000X	Anesthesiology Physician	ME 126958	FL

General Provider Information

NPI Number	:	1780941468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS N MONTALVO M.D.

Provider Business Mailing Address
First Line	:	50 CALLE ARRECIFE
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-2007
Country	:	US
Telephone Number	:	315-395-2913
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 CALLE ARRECIFE
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646
Country	:	US
Telephone Number	:	315-395-2913
Fax Number	:

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	05/27/2026

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