Provider Demographics
NPI:1871349134
Name:MONTALVO RIVERA, EDWIN J (MD)
Entity type:Individual
Prefix:
First Name:EDWIN
Middle Name:J
Last Name:MONTALVO RIVERA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:HOSPITAL PEDIATRICO UNIVERSITARIO
Mailing Address - Street 2:CARR. 22, BO. MONACILLOS, CENTRO MEDICO, OFICINA 1-A-35
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00935
Mailing Address - Country:US
Mailing Address - Phone:787-474-0333
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL PEDIATRICO UNIVERSITARIO
Practice Address - Street 2:CARR. 22, BO. MONACILLOS, CENTRO MEDICO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-474-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-27
Last Update Date:2025-12-17
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Provider Licenses
StateLicense IDTaxonomies
PR17512I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice