Provider Demographics
NPI:1386646917
Name:MONTALVO-FIGUEROA, JOSE A (MD FACE)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:MONTALVO-FIGUEROA
Suffix:
Gender:M
Credentials:MD FACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0538
Mailing Address - Country:US
Mailing Address - Phone:787-844-5177
Mailing Address - Fax:787-984-3343
Practice Address - Street 1:2431 BLVD LUIS A FERRE STE 303
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2116
Practice Address - Country:US
Practice Address - Phone:787-844-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2022-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11897207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
1017OtherIMC
200169OtherMMM
89094 MOOtherMEDICARE OPTIMO
11897OtherPRIME CARE
89094 MOOtherTRIPLE S
7310252OtherHUMANA
225029OtherMEDICARE CHOICE UTI
1017OtherFIRST PLUS
200169OtherMMM
060494OtherCRUZ AZUL
225029OtherMEDICARE CHOICE UTI
4411897OtherUIA
11897OtherREMEDIC
11897OtherPRIME CARE
225029OtherUTI