MEDICARE: DR. JOSE A MONTALVO-FIGUEROA MD FACE

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	11897	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	89094 MO	OTHER		MEDICARE OPTIMO
7	225029	OTHER		MEDICARE CHOICE UTI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1017	OTHER	IMC
2	200169	OTHER	MMM
4	11897	OTHER	PRIME CARE
5	89094 MO	OTHER	TRIPLE S
6	7310252	OTHER	HUMANA

General Provider Information

NPI Number	:	1386646917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE A MONTALVO-FIGUEROA MD FACE

Provider Business Mailing Address
First Line	:	PO BOX 538
Second Line	:
City	:	MERCEDITA
State	:	PR
Zip	:	00715-0538
Country	:	US
Telephone Number	:	787-844-5177
Fax Number	:	787-984-3343

Provider Business Practice Location Address
First Line	:	2431 BLVD LUIS A FERRE STE 303
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-2116
Country	:	US
Telephone Number	:	787-844-5177
Fax Number	:

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	11/20/2022

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Directions to “ DR. JOSE A MONTALVO-FIGUEROA MD FACE” Practice Location

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