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RAFAEL MANCERO MONTALVO MD
NPI 1720873177
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 14, 2025PECOS Enrolled
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661(505) 272-0475 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Mancero Montalvo Md NPPES

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

RAFAEL MANCERO MONTALVO MD (NPI 1720873177) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2025-0110) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720873177
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAFAEL MANCERO MONTALVOCredential: MD
Location AddressMSC10 5550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661 · Fax (505) 272-0475
Phone(505) 272-4661
Fax(505) 272-0475
Sole ProprietorNo
Enumeration DateApril 14, 2025
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1720873177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2025-0110
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Mancero Montalvo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KISHAN N VANMALI DO
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
ERIN FITZGERALD
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, PALLIATIVE CARE DEPARTMENT
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4868
AMIR MODARRES MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. AYUB ANSARI DO
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. AMIR JOSEPH MOGHADDAM MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-0407
ISHAN GARG MD
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
WASIM ALSAMAH MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
MEGHALI SINGHAL D.O.
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661

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 Rafael Mancero Montalvo's NPI number?

The NPI number for Rafael Mancero Montalvo is 1720873177. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Rafael Mancero Montalvo located?

Rafael Mancero Montalvo practices at Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Rafael Mancero Montalvo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rafael Mancero Montalvo enrolled in Medicare?

Yes. Rafael Mancero Montalvo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rafael Mancero Montalvo was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.