GARY G MONTALVO PETROVICH LLC (NPI# 1346654324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346654324 |
| Entity Type | Organization |
| Organization Name | GARY G MONTALVO PETROVICH LLC |
| Practice Address |
400 Ave Domenech Ste 506 Las Americas Prof Center San Juan PR 00918-0000 |
| Mailing Address |
Po Box 8465 Caguas PR 00726-8465 |
| Practice Telephone | 7877548625 |
| Practice Fax Number | 7877548648 |
| Mailing Telephone | 7877548625 |
| Mailing Fax Number | 7877548648 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DR. GARY G MONTALVO (DUENO) |
| Authorized Official Telephone | 7877548625 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 5622 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | LIC | 5622 | 01 |
| Street Address |
400 AVE DOMENECH STE 506 LAS AMERICAS PROF CENTER |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00918-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576873 | Stryker Puerto Rico Sales LLC | Durable Medical Equipment & Medical Supplies | Calle Federico Costa 205, Montemar Plaza Suite 103, San Juan, PR 00918 | 2020-10-20 |
| 1255942074 | Jose Armando Corzo Gomez | Student in an Organized Health Care Education/Training Program | 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 | 2020-08-14 |
| 1437768843 | Dra Yanira Arce-ayala | Internal Medicine | 508 Ave Eugenio Maria De Hostos#101, San Juan, PR 00918 | 2020-07-31 |
| 1922621010 | Xiomara Resto | Student in an Organized Health Care Education/Training Program | #550 Calle Sergio Cuevas Bustamante Ave Domenech, San Juan, PR 00918 | 2020-05-22 |
| 1861015299 | Carlos Vargas | Student in an Organized Health Care Education/Training Program | 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918 | 2020-05-20 |
| 1831724665 | Flor De Liz Santiago | Social Worker | Calle Jose Oliver #205, Apto. Th109, San Juan, PR 00918 | 2020-03-12 |
| 1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
| 1356973697 | Guillermo Antonio Puebla Robles | Student in an Organized Health Care Education/Training Program | 155 Art. Hostos Golden Court II, Apt 227, San Juan, PR 00918 | 2020-02-05 |
| 1790316842 | Marieli Figueroa-morales | Pharmacist | Ave Ponce De Leon 715 Pda 37 1/2, Hato Rey, PR 00918 | 2020-01-28 |
| 1518507862 | Fabiola Ramos | Student in an Organized Health Care Education/Training Program | 600 Ave Jesus T Pinero Apt 1702, San Juan, PR 00918 | 2020-01-14 |
| Find all providers in zip 00918 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982124145 | Jpm Ent Surgical LLC | Otolaryngology | Avenida Ashford #1451, San Juan, PR 00902 | 2017-06-20 |
| 1912326752 | Gabriel Hernandez Martin | Otolaryngology | Ashford Medical Tower Suite 805, 29 Washington Street, San Juan, PR 00907 | 2014-04-09 |
| 1306265269 | Shayanne Alexander Lajud Guerrero | Otolaryngology | Oto Hns School of Medicine, Suite A972 Main Bldg Recinto Ciencias Medicas, San Juan, PR 00935 | 2014-04-08 |
| 1093132920 | Prnsi LLC | Otolaryngology | 299 Pinero Avenue, Urb Hyde Park, San Juan, PR 00927-3900 | 2014-03-28 |
| 1710326723 | Mariana Judith Ortiz Martinez | Otolaryngology | 1789 Carretera 21, Torre Hospital Metropolitano Suite 309, San Juan, PR 00921 | 2013-06-24 |
| 1750512604 | Javier Gonzalez | Otolaryngology | 888 Ave Ashford, Apt 9, San Juan, PR 00907-1007 | 2009-07-27 |
| 1568657930 | Paulette C. Pacheco-lopez | Otolaryngology | 3950 Carr 176, Garden Valley Club Apt 108, San Juan, PR 00926-6737 | 2007-09-10 |
| 1790844348 | Jose M Bird | Otolaryngology | Cond. Torre De Auxilio Mutuo, Suite 711 Ave. Ponce De Leon # 735, San Juan, PR 00917-5030 | 2006-12-08 |
| 1104910793 | Jog Otolaryngology Services Csp | Otolaryngology | 29 Washington Suite 105, Ashford Medical Center, San Juan, PR 00907 | 2006-10-03 |
| 1497848592 | Jose L Arsuaga | Otolaryngology | Edf 1503 5to Piso, Profesor Augusto Rodiguez, San Juan, PR 00909 | 2006-10-02 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.