Individual provider Active NPI

Angela Mendez de Guzman, M.D.

  • Diagnostic Radiology Physician
  • Guaynabo, PR
National Provider Identifier
1699820605
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8350 Issued in PR
Practice address
14 Calle G
Villa Caparra
Guaynabo, PR 00966-1733
Phone
(787) 385-2028
Fax
(787) 727-1477
NPI assigned
Jan 23, 2007
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 8350 PR Primary

Addresses

Primary practice location

14 Calle G
Villa Caparra
Guaynabo, PR 00966-1733

Mailing address

14 Calle G
Villa Caparra
Guaynabo, PR 00966-1733
Phone (787) 385-2028

Other identifiers 1

IdentifierTypeStateIssuer
8350OtherPRRADIOLOGIST

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
I20040921000056 PR Practitioner - Diagnostic Radiology 6406824168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and P Radiologos, LLCGroup PAC ID 1254397094, 21 clinicians

Practice addresses (Care Compare)

617 Manuel Pavia St
San Juan, PR 00910-8040
Phone (787) 727-5381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.05 of 100Reported as group
Quality
16.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8350PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologia del Turabo, C.S.P. Diagnostic Radiology CurrentSince May 22, 2013 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology CurrentSince Jan 1, 1989 Accepting new patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince May 22, 2013 Accepting new patients
Breast Imaging Diagnostic PSC Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1699820605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CALLE G",
            "address_2": "VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661733",
            "telephone_number": "787-385-2028",
            "fax_number": "787-727-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE G",
            "address_2": "VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661733",
            "telephone_number": "787-385-2028",
            "fax_number": "787-727-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ DE GUZMAN",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "8350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGIST",
            "identifier": "8350",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.