Healthcare Provider Details

I. General information

NPI: 1962317321
Provider Name (Legal Business Name): MONTALVO OCCUPATIONAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO COMERCIAL PLAZA PRADERA CARR. 167 CALLE ANTONIO EDIFICIO 7 LOCAL 2
BAYAMON PR
00961
US

IV. Provider business mailing address

310 VALLE DE TORRIMAR
GUAYNABO PR
00966-8706
US

V. Phone/Fax

Practice location:
  • Phone: 939-381-1131
  • Fax:
Mailing address:
  • Phone: 939-381-1131
  • Fax: 939-381-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARMEN IVETTE MONTALVO
Title or Position: OWNER
Credential: MD
Phone: 939-381-1131