Individual provider Active NPI

Wilberto Guzman Alvarado, M. D.

  • Cardiovascular Disease Physician
  • Rio Piedras, PR
National Provider Identifier
1730196247
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11015 Issued in PR
Practice address
1716 Calle Parana
El Cerezal
Rio Piedras, PR 00926-3148
Phone
(787) 766-8548
Fax
(787) 282-0483
NPI assigned
Aug 1, 2006
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11015 PR Primary

Addresses

Primary practice location

1716 Calle Parana
El Cerezal
Rio Piedras, PR 00926-3148

Mailing address

1716 Calle Parana
El Cerezal
Rio Piedras, PR 00926-3148
Phone (787) 766-8548

Other identifiers 2

IdentifierTypeStateIssuer
061192OtherPRCRUZ AZUL
83716OtherPRTRIPLE S

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
I20040608001063 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870576234 Reassigns benefits to 1 organization
Practice locations: Rio Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Senorial Cardiovascular Services IncGroup PAC ID 4486715562, 3 clinicians

Practice addresses (Care Compare)

1716 Calle Parana
San Juan, PR 00926-3148
Phone (787) 766-2200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Senorial Cardiovascular Services Inc Cardiovascular Disease CurrentSince Apr 4, 1996 Accepting new patients
Cardiostat Medical Testing Services Past Accepting new patients

Locations

1716 Calle Parana
San Juan, PR 00926
Phone (787) 310-8854

1716 Calle Parana
#C
San Juan, PR 00926
Phone (787) 766-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1730196247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 CALLE PARANA",
            "address_2": "EL CEREZAL",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009263148",
            "telephone_number": "787-766-8548",
            "fax_number": "787-282-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 CALLE PARANA",
            "address_2": "EL CEREZAL",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009263148",
            "telephone_number": "787-766-8548",
            "fax_number": "787-282-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN ALVARADO",
        "first_name": "WILBERTO",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "11015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "061192",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "83716",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.