Individual provider Active NPI

Boris M Guzman-Hernandez, M.D.

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1003987793
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16684 Issued in PR
Practice address
MQ10 Plaza 37
Monte Claro
Bayamon, PR 00961-3577
Phone
(787) 245-8870
Fax
(787) 858-0434
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16684 PR Primary

Addresses

Primary practice location

MQ10 Plaza 37
Monte Claro
Bayamon, PR 00961-3577

Mailing address

MQ10 Plaza 37
Monte Claro
Bayamon, PR 00961-3577
Phone (787) 245-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000341 PR Practitioner - Internal Medicine 7517966559 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

MQ10 Plaza
37 Monte Claro
Bayamon, PR 00961-3577

Hospital & facility affiliations

  • Special Care Pharmacy Services, LLC Home health agency, San Juan, PR, CCN 407331
  • Centro Medico del Noreste Hospital, Fajardo, PR, CCN 400141
  • Caribbean Medical Center Hospital, Fajardo, PR, CCN 400131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Victor J. Mariano Inc. Past Accepting new patients
Caribe Physicians Plaza Corporation Past Accepting new patients
Fajardo Integrated Medical Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1003987793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MQ10 PLAZA 37",
            "address_2": "MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613577",
            "telephone_number": "787-245-8870",
            "fax_number": "787-858-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MQ10 PLAZA 37",
            "address_2": "MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613577",
            "telephone_number": "787-245-8870",
            "fax_number": "787-858-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-HERNANDEZ",
        "first_name": "BORIS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.