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DR. SARA IVELISSE MONTALVO MEDINA M.D.
NPI 1003125022
Obstetrics & Gynecology in Ponce, PR

Active since September 26, 2010PECOS EnrolledAccepts Medicare Assignment
2A-21 53 STREET, URB. JARDINES DEL CARIBE, PONCE, PR 00728(787) 467-2259 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sara Ivelisse Montalvo Medina M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARA IVELISSE MONTALVO MEDINA M.D. (NPI 1003125022) is an individual obstetrics & gynecology provider in Ponce, Puerto Rico, licensed in Puerto Rico (18757) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (2014).

NPPES Registry Identity

NPI1003125022
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SARA IVELISSE MONTALVO MEDINACredential: M.D.
Location Address2A-21 53 STREET, URB. JARDINES DEL CARIBEPonce, PR 00728-2676
Mailing Address2a-21 53 Street, Urb. Jardines Del CaribePonce, PR 00728-2676 · (787) 467-2259
Phone(787) 467-2259
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2014
Enumeration DateSeptember 26, 2010
Last NPPES UpdateAugust 1, 2014
✔ NPI 1003125022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PR · 18757
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2A-21 53 STREET, Ponce, PR 00728
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sara Ivelisse Montalvo Medina M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830319557
PECOS Enrollment IDI20141001001056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Montalvo Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Obstetrics And Gynecologic Center, P.S.C.
10 mi
Obstetrics
CALLE CARRION MADURO, NUM 29
Juana Diaz, PR 00795
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1114206315 (787) 837-6419
Obstetrics And Gynecology Health Center LLC
Obstetrics
1255 PASEO LAS MONJITAS, SUITE M161 AVE TITO CASTRO
Ponce, PR 00730
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1992586481 (787) 651-7816

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Montalvo Medina's NPI number?

The NPI number for Sara Montalvo Medina is 1003125022. It was assigned to this individual provider in the NPPES registry on September 26, 2010.

Where is Sara Montalvo Medina located?

Sara Montalvo Medina practices at 2a-21 53 Street Urb. Jardines Del Caribe, Ponce, PR 00728. The listed phone number is (787) 467-2259.

What is Sara Montalvo Medina's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sara Montalvo Medina enrolled in Medicare?

Yes. Sara Montalvo Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sara Montalvo Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Montalvo Medina reassigns Medicare benefits to 2 organizations: Southern Obstetrics And Gynecologic Center, P.S.C. (Juana Diaz, PR) and Obstetrics And Gynecology Health Center LLC (Ponce, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Montalvo Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Montalvo Medina was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.