Leonardo Rafael Hormaza, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

15346 Issued in PR

Practice address

253 Calle San Jorge
Suie 2B
Santurce, PR 00912-3307

Phone

(787) 999-9450

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Pediatric Medicine

Education

Ponce School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.Group PAC ID 4183602832, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjclhorma@yourcarecommunity.org

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 Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Specialist
  • San Juan, PR
  • NPI 1487947214
  Medicare reassignment Care Compare group NPD
• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Rehabilitation Clinic/Center
  • San Juan, PR
  • NPI 1992369615
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1124039813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DORADO BCH E",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462213",
            "telephone_number": "787-727-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CALLE SAN JORGE",
            "address_2": "SUIE 2B",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009123307",
            "telephone_number": "787-999-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMAZA",
        "first_name": "LEONARDO",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-115444",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "15346",
            "primary": true
        },
        {
            "code": "2080T0004X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Transplant Hepatology",
            "state": "PR",
            "license": "15346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055271",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Laboratories Services Inc
• Hera Ginecologia Y Obstetricia
• Rafael Lacomba Hernandez, MD
• Ritzel M. Hidalgo, PT, DPT, ATRIC
• Holistic Health
• Felicita Huertas
• Imi of San Juan
• Instituto de Rehabilitacion del Caribe, C.S.P.
• Instituto Medicina Nuclear
• Instituto Podiatrico de Puerto Rico

• Pediatric Gastroenterology Physician in Santurce, PR
• Providers in Santurce, PR by specialty
• Pediatric Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.