Organization Active NPI

Guaynabo Radiology, LLC

  • Radiology Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1659858017
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
GUAYNABO RADIOLOGY, LLC
Practice address
10 Ave Las Cumbres
Guaynabo, PR 00969-4835
Phone
(787) 740-8787
NPI assigned
Jul 27, 2018
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Dr. Leonardo I Valentin, MD
Title
President
Phone
(787) 408-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

10 Ave Las Cumbres
Guaynabo, PR 00969-4835

Mailing address

PO Box 1239
Guaynabo, PR 00970-1239
Phone (787) 740-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002938 PR Part B Supplier - Hospital Department(S) 4082956784 Receives reassigned benefits from 27 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

10 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 223-5442

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1659858017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701239",
            "telephone_number": "787-740-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694835",
            "telephone_number": "787-740-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-408-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.