Individual provider Active NPI

Rayda Nanette Hernandez-Guasch, MD

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1396753208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7493 Issued in PR
Practice address
Santa Cruz St #64
Galeria Medica Suite 104
Bayamon, PR 00961-7001
Phone
(787) 269-2250
Fax
(787) 269-2295
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7493 PR Primary

Addresses

Primary practice location

Santa Cruz St #64
Galeria Medica Suite 104
Bayamon, PR 00961-7001

Mailing address

PMB 525
#89 De Diego Ave Suite 105
San Juan, PR 00927-5831
Phone (787) 269-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000157 PR Practitioner - Diagnostic Radiology 1355537192 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galeria Radiologica Digital LLC Diagnostic Radiology CurrentSince Jun 10, 2014 Accepting new patients

Locations

64 Calle Santa Cruz
Ste 104
Bayamon, PR 00961
Phone (787) 269-2250

89 Ave de Diego
Ste 105
San Juan, PR 00927

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396753208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 525",
            "address_2": "#89 DE DIEGO AVE SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275831",
            "telephone_number": "787-269-2250",
            "fax_number": "787-269-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA CRUZ ST #64",
            "address_2": "GALERIA MEDICA SUITE 104",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617001",
            "telephone_number": "787-269-2250",
            "fax_number": "787-269-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-GUASCH",
        "first_name": "RAYDA",
        "middle_name": "NANETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "7493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.