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DR. EDGAR HERNANDEZ MONTALVO M.D.
NPI 1033469390
Internal Medicine - Nephrology in Manati, PR

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
411 CALLE HERNANDEZ CARRION, MANATI, PR 00674(787) 787-5151 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Nov 28, 2017, Jun 14, 2017 (3 updates tracked since 2017).

About Dr. Edgar Hernandez Montalvo M.d. NPPES

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

DR. EDGAR HERNANDEZ MONTALVO M.D. (NPI 1033469390) is an individual nephrology provider in Manati, Puerto Rico, licensed in Puerto Rico (19610) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Manati Medical Center Dr Otero Lopez, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033469390
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EDGAR HERNANDEZ MONTALVOCredential: M.D.
Location Address411 CALLE HERNANDEZ CARRIONManati, PR 00674
Mailing AddressUrb Estancias De Manati, #147 Calle DoradoManati, PR 00674 · (787) 595-3315
Phone(787) 787-5151
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1033469390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 19610
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edgar Hernandez Montalvo 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 ID1355657099
PECOS Enrollment IDI20171128003703
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Manati Medical Center Dr Otero Lopez

Acute Care Hospitals · Manati, PR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400114
LocationCarr 668 Calle Hernandez Carrion Urb AtenasManati, PR 00674 · Manati County
Emergency services Birthing friendly

Doctors' Center Hospital, Inc

Acute Care Hospitals · Manati, PR
2/5 CMS rating
OwnershipProprietary
CMS Certification Number400118
LocationMarginal Carretera No 2, Km 47 7Manati, PR 00674 · Manati County
Emergency services Birthing friendly

Doctors Center Hospital Orlando Health Dorado

Acute Care Hospitals · Dorado, PR
OwnershipProprietary
CMS Certification Number400137
LocationRoad 696 Intersection Efron Avenue Bo HiguillarDorado, PR 00646 · Dorado County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00674 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
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
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 Edgar Hernandez Montalvo's NPI number?

The NPI number for Edgar Hernandez Montalvo is 1033469390. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Edgar Hernandez Montalvo located?

Edgar Hernandez Montalvo practices at 411 Calle Hernandez Carrion, Manati, PR 00674. The listed phone number is (787) 787-5151.

What is Edgar Hernandez Montalvo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Edgar Hernandez Montalvo enrolled in Medicare?

Yes. Edgar Hernandez Montalvo 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.

Is Edgar Hernandez Montalvo affiliated with any hospitals?

According to CMS data, Edgar Hernandez Montalvo is affiliated with Manati Medical Center Dr Otero Lopez, Doctors' Center Hospital, Inc and Doctors Center Hospital Orlando Health Dorado.

When was this NPI record last updated?

The NPPES record for Edgar Hernandez Montalvo was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.