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

Q: 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.

Q: What is Edgar Hernandez Montalvo's specialty?

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

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: October 18, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Edgar Hernandez Montalvo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Servicios Primarios De Salud Inc

Federally Qualified Health Center (FQHC)

3 ANTONIO ALCAZAR ST
Florida, PR 00650

Reassigned Medicare billing, Puerto Rico enrollment
19 clinicians in this Medicare group

NPI 1104896190 (787) 822-2170

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

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.

Which organization bills Medicare for Edgar Hernandez Montalvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Hernandez Montalvo reassigns Medicare benefits to Centro De Servicios Primarios De Salud Inc (Florida, PR). The 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 Edgar Hernandez Montalvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.