DR. EFRAIN E. MONTANEZ MORALES D.M.D
NPI 1750707832
Dentist - Oral and Maxillofacial Surgery in Cayey, PR
NPI Status: Active since March 12, 2014
Contact Information
20 AVE ANTONIO R BARCELO
PLAZA EMPRESARIAL MUNICIPAL SUITE 209
CAYEY, PR
ZIP 00736
Phone: (787) 635-5050
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
About EFRAIN MONTANEZ MORALES
This page provides the complete NPI Profile along with additional information for Efrain Montanez Morales, a provider established in Cayey, Puerto Rico with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1750707832 assigned on March 2014. The practitioner's primary taxonomy code is 1223S0112X with license number 3230 (PR). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1750707832
- Provider Name
- DR. EFRAIN E. MONTANEZ MORALES D.M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 20 AVE ANTONIO R BARCELO PLAZA EMPRESARIAL MUNICIPAL SUITE 209 CAYEY, PR 00736
- Location Phone
- (787) 635-5050
- Mailing Address
- PO BOX 3172 BAYAMON, PR 00960
- Mailing Phone
- (787) 269-7900
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-12-2014
- Last Update Date
- 11-03-2021
- Code Navigator
A dentist like Efrain Montanez Morales is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 3230
- License State
- PR
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 3230 (PR) |
| 2 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 3230 (PR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Efrain Montanez Morales is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 00736 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.07
- Minimum New Patient Price $56.86
- Maximum New Patient Price $172.44
- Average New Patient Copayment $22.01
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.88
- Minimum Established Patient Price $18.24
- Maximum Established Patient Price $140.44
- Average Established Patient Copayment $17.72
- Minimum Established Patient Copayment $4.56
- Maximum Established Patient Copayment $35.11
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. EFRAIN E. MONTANEZ MORALES D.M.D
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 0 | 7 | 8 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 0 | 14 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 1 + 4 + 8 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1750707832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
MRS. LILLIAN ROCIO PINTADO MS-A
Audiologist
20 AVE ANTONIO R BARCELO
SIERRA CAYEY MALL SUITE 212
CAYEY, PR
ZIP 00736
MRS. SARA P BARCELO MENDOZA MS-A IN AUDIOLOGY
Audiologist
20 AVE ANTONIO R BARCELO
SUITE 212
CAYEY, PR
ZIP 00736
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750707832, enumerated as an "individual" on March 12, 2014.
The provider is located at 20 AVE ANTONIO R BARCELO PLAZA EMPRESARIAL MUNICIPAL SUITE 209 CAYEY, PR 00736 and the phone number is (787) 635-5050.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
