Carlos Guardiola Betancourt, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12105 Issued in PR

Practice address

390 Ave Domenech
Hato Rey
San Juan, PR 00918-3716

Phone

(787) 764-7328

NPI assigned

Jan 24, 2007

Last updated

Apr 30, 2012By the provider in NPPES

Sex

Male

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

Specialty

Diagnostic Radiology

Education

University of Puerto Rico School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Salud de Lares, Inc

  dba Centro Integrados de Servicios de Salud

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lares, PR
  • NPI 1417907502
  Medicare reassignment NPD
• Dr Susoni Health Community Services Corp

  dba Hospital Pavia Arecibo

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1972531218
  Medicare reassignment NPD
• Servicios Radiologicos Asociados Jorge Perez Brais

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1699724252
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc

  dba Farmacia Centro de Salud de Lares, Inc

  • Community/Retail Pharmacy
  • Lares, PR
  • NPI 1093544132
  NPD
• Dr Susoni Health Community Services Corp

  dba Hospital Pavia Arecibo

  • Anesthesiology Physician
  • Arecibo, PR
  • NPI 1053945022
  NPD
• Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1104862044
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1669527487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AVE DOMENECH",
            "address_2": "HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183716",
            "telephone_number": "787-764-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AVE DOMENECH",
            "address_2": "HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183716",
            "telephone_number": "787-764-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIOLA BETANCOURT",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Guadalupe
• Sergio Guadalupe
• Angel Daniel Guante
• Carolyn Guardado, RN
• Giannina Eminee Guardia Rullan, M.D.
• Gabriel Antonio Guardiola
• Guaynabo Home Care Program, Inc. (Cuidado Casero Guaynabo)
• Guaynabo Periodontics and Dental Implants
• Carmen Guede, M.D.
• Christopher Guerra Olivo

• Diagnostic Radiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.