1. Home
  2. Directory
  3. NPI Profile

LORENA ALEXANDRA MONTALVO-TOLEDO MD
NPI 1316431315
Ophthalmology in Arecibo, PR

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
76.15/100
CMS Quality Rating
404 AVE JOSE DE DIEGO, ARECIBO, PR 00612(787) 878-2758(787) 817-3531 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Jul 17, 2023, Apr 18, 2022 and 1 more (4 updates tracked since 2018).

About Lorena Alexandra Montalvo-toledo Md NPPES

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

LORENA ALEXANDRA MONTALVO-TOLEDO MD (NPI 1316431315) is an individual ophthalmology provider in Arecibo, Puerto Rico, licensed in Puerto Rico (21521) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Juan, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2023).

NPPES Registry Identity

NPI1316431315
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLORENA ALEXANDRA MONTALVO-TOLEDOCredential: MD
Location Address404 AVE JOSE DE DIEGOArecibo, PR 00612-4358
Mailing AddressPo Box 140819Arecibo, PR 00614-0819 · (787) 420-0221
Phone(787) 878-2758
Fax(787) 817-3531
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2023
Enumeration DateJune 21, 2018
Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1316431315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in PR · 21521✔ Licensed in NY · 315316
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 315316 (NY)

Secondary Practice Location 1

Location 1University District Hosiptal Puerto Rico Medical CenterSan Juan, PR 00935-0001 · Phone (787) 754-0101

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

Lorena Alexandra Montalvo-toledo Md 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 ID1153709530
PECOS Enrollment IDI20240119000484
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00612 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost33.95

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 Lorena Montalvo-toledo's NPI number?

The NPI number for Lorena Montalvo-toledo is 1316431315. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Lorena Montalvo-toledo located?

Lorena Montalvo-toledo practices at 404 Ave Jose De Diego, Arecibo, PR 00612. The listed phone number is (787) 878-2758.

What is Lorena Montalvo-toledo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lorena Montalvo-toledo enrolled in Medicare?

Yes. Lorena Montalvo-toledo 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.

When was this NPI record last updated?

The NPPES record for Lorena Montalvo-toledo was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.