Leanette Marie Guzman Rivera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22109 Issued in PR

Practice address

Urb. Estancias del Mayoral Calle la Carreta D-7
Villalba, PR 00766

Phone

(939) 788-0288

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1639775349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC- 01 BOX 3133",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669701",
            "telephone_number": "939-788-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ESTANCIAS DEL MAYORAL CALLE LA CARRETA D-7",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "939-788-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN RIVERA",
        "first_name": "LEANETTE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grafed Solutions Corp
• Grafed Solutions Corp.
• Johannie Marie Gratacos-Ramos, MS
• Johanna Marie Gratacos, RPH
• GT Ambulance Service, LLC.
• Angelik Guzman, LND
• Josue Guzman, CSW
• Ronaldo J Hernandez Ortiz Sr.
• Stefany Hernandez Perez, LND
• Jixamille Marie Hernandez-Garcia, PHARM D.

• General Practice Physician in Villalba, PR
• Providers in Villalba, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.