MONTALVAN MIRO DERMATOLOGY, LLC
NPI 1659785632
Clinic/Center in Dorado, PR
About Montalvan Miro Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONTALVAN MIRO DERMATOLOGY, LLC (NPI 1659785632) is a healthcare organization registered as a clinic/center in Dorado, Puerto Rico and active in the NPI registry since June 2014. The organization lists Elena M Montalvan Miro, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Montalvan Miro Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Montalvan Miro Dermatology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Montalvan Miro Dermatology, LLC's NPI number?
The NPI number for Montalvan Miro Dermatology, LLC is 1659785632. It was assigned to this organization in the NPPES registry on June 17, 2014.
Where is Montalvan Miro Dermatology, LLC located?
Montalvan Miro Dermatology, LLC is located at Carr 693 Esquina Ave. Jose Efron Doctors Health Center Dorado Clinic #24 Plaza Dorada, Dorado, PR 00646. The listed phone number is (787) 621-3322.
What is Montalvan Miro Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Montalvan Miro Dermatology, LLC enrolled in Medicare?
Yes. Montalvan Miro Dermatology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Montalvan Miro Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Montalvan Miro Dermatology, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Montalvan Miro Dermatology, LLC was last updated on June 17, 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.
# Montalvan Miro Dermatology, Llc · NPI 1659785632
Clinic/Center organization in Dorado, Puerto Rico. Organization record, active in the CMS NPPES registry since June 17, 2014.
## Identity
- **NPI:** 1659785632 (Entity type: Organization)
- **Enumerated:** June 17, 2014
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Elena Montalvan Miro, PRESIDENT
## Practice location
- **Address:** CARR 693 ESQUINA AVE. JOSE EFRON, DOCTORS HEALTH CENTER DORADO CLINIC #24 PLAZA DORADA, Dorado, PR 00646-4810
- **Phone:** (787) 621-3322
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1659785632) · Data from the CMS NPPES public registry.