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JOSE A. MERCADO MONTALVO MD
NPI 1912915463
Internal Medicine - Pulmonary Disease in Carolina, PR

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
AVE. CAMPO RICO CALLE 2 BLOQ 1, SABANA GARDENS, CAROLINA, PR 00983(787) 276-5272(787) 276-5302 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose A. Mercado Montalvo Md NPPES

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

JOSE A. MERCADO MONTALVO MD (NPI 1912915463) is an individual pulmonary disease provider in Carolina, Puerto Rico, licensed in Puerto Rico (11996) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1992).

NPPES Registry Identity

NPI1912915463
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOSE A. MERCADO MONTALVOCredential: MD
Location AddressAVE. CAMPO RICO CALLE 2 BLOQ 1, SABANA GARDENSCarolina, PR 00983
Mailing Address16street J17 Ciudad UniversitariaTrujillo Alto, PR 00976 · (787) 761-6403
Phone(787) 276-5272
Fax(787) 276-5302
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1992
Enumeration DateAugust 3, 2006
Last NPPES UpdateNovember 27, 2012
✔ NPI 1912915463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PR · 11996
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Other Identifiers 2

Medicare UPING95007PR
Medicare ID-Type Unspecified90058PR

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

Jose A. Mercado Montalvo 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 ID2466620794
PECOS Enrollment IDI20110712000588
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00983 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
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier12 claims22 services$3.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jose Mercado Montalvo's NPI number?

The NPI number for Jose Mercado Montalvo is 1912915463. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Jose Mercado Montalvo located?

Jose Mercado Montalvo practices at Ave. Campo Rico Calle 2 Bloq 1 Sabana Gardens, Carolina, PR 00983. The listed phone number is (787) 276-5272.

What is Jose Mercado Montalvo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jose Mercado Montalvo enrolled in Medicare?

Yes. Jose Mercado Montalvo 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.

Is Jose Mercado Montalvo affiliated with any hospitals?

According to CMS data, Jose Mercado Montalvo is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Jose Mercado Montalvo was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.