Benjamin Ricardo Guardiola, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16677 Issued in PR

Practice address

Ave. Laurel #100
Santa Juanita
Bayamon, PR 00956

Phone

(787) 740-4295

Fax

(787) 740-4295

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

BRG Medical LLCGroup PAC ID 6103128459, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• BRG Medical LLC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1033580840

  Internal Medicine, PR

  Medicare reassignment Care Compare group NPD
• Kidney Health Services LLC

  • Nephrology Physician
  • San Juan, PR
  • NPI 1366118895

  Internal Medicine

  NPD
• C O P R Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • San Juan, PR
  • NPI 1003699851
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265593370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 COND VISTA REAL II",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007277853",
            "telephone_number": "787-745-3627",
            "fax_number": "787-745-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LAUREL #100",
            "address_2": "SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-740-4295",
            "fax_number": "787-740-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIOLA",
        "first_name": "BENJAMIN",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grupo Medico Geriatrico Inc
• Grupo Medico San Pablo Inc
• Grupo Otorrinolaringologico de PR CSP
• Grupo Sepi LLC
• Jennifer Guadalupe- Berrios
• Elaine Guerra
• Carolina Elmire Guerrero Diaz, MD
• Omar Guerrero Diaz, MD
• Andrea Alanis Guerrero Soler
• David E Guerrero, PHARMACIST

• All providers in Bayamon, PR
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.