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

Q: 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.

Q: What is Lorena Montalvo-toledo's specialty?

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

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: November 08, 2026.

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

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

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.

Medicare Billing Reassignments

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

Recinto De Ciencias Medicas

Ophthalmology

AVE AMERICO MIRANDA CENTRO MEDICO DE PR EDIF PRINCIPAL, ESCUELA DE MEDICINA APTDO. 29134
San Juan, PR 00929

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

NPI 1770654592 (787) 758-2525

Strong Eye Care

Ophthalmology

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
59 clinicians in this Medicare group

NPI 1760413447 (585) 273-3937

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 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

Quality

71.02

Promoting Interoperability

100

Improvement Activities

Cost

33.95

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.

Which organizations bill Medicare for Lorena Montalvo-toledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Montalvo-toledo reassigns Medicare benefits to 2 organizations: Recinto De Ciencias Medicas (San Juan, PR) and Strong Eye Care (Rochester, NY). 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 Lorena Montalvo-toledo'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 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.