Active NPI
Leonardo Ivan Valentin, M.D.
- Specialist
- Guaynabo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80640 | Medicaid | PR |
Other names 1
- Dr. Leonardo Ivan Valentin
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008183 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gsa Medical LLC | Current | Accepting new patients | |
| Guaynabo Radiology, LLC | Vascular Surgery | Current | Accepting new patients |
| Guaynabo Vascular Specialists LLC | Vascular Surgery | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Professional Hospital Guaynabo Inc | 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.
-
- General Acute Care Hospital
- Guaynabo, PR
- NPI 1922254952
Corporate Director
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.
-
- Anesthesiology Physician
- Guaynabo, PR
- NPI 1932919115
-
dba Guaynabo Vascular
- Vascular & Interventional Radiology Physician
- Guaynabo, PR
- NPI 1922712413
Vascular Surgery
-
- General Acute Care Hospital
- Manati, PR
- NPI 1225027303
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Guaynabo, PR
- NPI 1922254952
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.