Individual provider Active NPI

Jose R Guzman-Virella, MD

  • Urology Physician
  • Bayamon, PR
National Provider Identifier
1295700284
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
6029 Issued in PR
Practice address
66 Calle Santa Cruz Ste 402
Bayamon, PR 00961-7049
Phone
(787) 785-6150
Fax
(787) 269-2669
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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 6029 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz Ste 402
Bayamon, PR 00961-7049

Mailing address

193 Dorado BCH E
Dorado, PR 00646-2211
Phone (787) 785-6150

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
I20070619000175 PR Practitioner - Urology 8123127065 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Inst San Pablo
402 Calle Santa Cruz 66
Bayamon, PR 00961-7049
Phone (787) 785-6150

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109
  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

National Provider Directory

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

Hospital & facility affiliations 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1295700284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 DORADO BCH E",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462211",
            "telephone_number": "787-785-6150",
            "fax_number": "787-269-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ STE 402",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617049",
            "telephone_number": "787-785-6150",
            "fax_number": "787-269-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-VIRELLA",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.