Individual provider Active NPI

Leonardo Ivan Valentin, M.D.

  • Specialist
  • Guaynabo, PR
National Provider Identifier
1740279702
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8183 Issued in PR
Practice address
8 Ave Las Cumbres
Guaynabo, PR 00969
Phone
(787) 740-8787
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8183 PR Primary

Addresses

Primary practice location

8 Ave Las Cumbres
Guaynabo, PR 00969

Mailing address

P.O. Box 8973
Bayamon, PR 00960-8973
Phone (787) 884-0505

Other practice location 1

Street # 2 KM. 49.5 No. 46
Manati, PR 00674
Phone (787) 884-0505

Other identifiers 1

IdentifierTypeStateIssuer
80640MedicaidPR

Other names 1

  • Dr. Leonardo Ivan Valentin Professional name

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
I20080527000223 PR Practitioner - Vascular SurgeryPractitioner - General Surgery 6709798168 Reassigns benefits to 3 organizations
Practice locations: Guaynabo, PR; Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Ave Las Cumbres
Guaynabo, PR 00969-4818
Phone (787) 740-8787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008183PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gsa Medical LLC CurrentSince Apr 2, 2025 Accepting new patients
Guaynabo Radiology, LLC Vascular Surgery CurrentSince Mar 13, 2023 Accepting new patients
Guaynabo Vascular Specialists LLC Vascular Surgery CurrentSince Jul 1, 2024 Accepting new patients
Professional Hospital, Inc Past Accepting new patients

Locations

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

10 Ave Las Cumbres
Ste 16
Guaynabo, PR 00969
Phone (787) 421-9200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Professional Hospital Guaynabo IncGuaynabo, PR, CCN 400122 Hospital Corporate Director Jun 30, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1740279702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8973",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608973",
            "telephone_number": "787-884-0505",
            "fax_number": "787-884-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-740-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "STREET # 2 KM. 49.5 NO. 46",
            "address_purpose": "LOCATION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-884-0505",
            "fax_number": "787-884-0510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "LEONARDO",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80640",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARDO",
            "last_name": "VALENTIN",
            "middle_name": "IVAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.