Individual provider Active NPI

Leonel Enrique Guerrero Rodriguez, M.D.

  • Urology Physician
  • Fajardo, PR
National Provider Identifier
1023091188
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
14100 Issued in PR
Practice address
Torre San Pablo del Este, Suite 401
Ave. General Valero # 410
Fajardo, PR 00738
Phone
(787) 655-0505
Fax
(787) 863-1212
NPI assigned
Nov 22, 2005
Last updated
May 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 14100 PR Primary

Addresses

Primary practice location

Torre San Pablo del Este, Suite 401
Ave. General Valero # 410
Fajardo, PR 00738

Mailing address

20 Ave Luis Munoz Marin
PMB 536 Urb Villa Blanca
Caguas, PR 00725
Phone (787) 308-5846

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
I20050730000071 PR Practitioner - Urology 2163450271 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre San Pablo del Este
401 410 Ave General Valero
Fajardo, PR 00738-3949
Phone (787) 863-1212

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14100PRMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: leonelguerrero@1765.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1023091188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVE LUIS MUNOZ MARIN",
            "address_2": "PMB 536 URB VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-308-5846",
            "fax_number": "787-860-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO DEL ESTE, SUITE 401",
            "address_2": "AVE. GENERAL VALERO # 410",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-0505",
            "fax_number": "787-863-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO RODRIGUEZ",
        "first_name": "LEONEL",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "14100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.