Guaynabo Vascular Specialists LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

GUAYNABO VASCULAR SPECIALISTS LLC

Doing business as

Guaynabo Vascular

Practice address

9 Ave Las Cumbres
Guaynabo, PR 00969-4832

Phone

(787) 356-3791

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Leonardo Valentin, MD, DABR

Title

President

Phone

(787) 356-3791

Specialties & licenses 2

Addresses

Other names 1

• Guaynabo Vascular Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonardo I Valentin, M.D.

  • Vascular & Interventional Radiology Physician
  • Guaynabo, PR
  • NPI 1962728162
  Medicare reassignment NPD
• Leonardo Ivan Valentin, M.D.

  • Specialist
  • Guaynabo, PR
  • NPI 1740279702

  Vascular Surgery

  Medicare reassignment NPD
• Robert S Crawford, MD

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1033372610

  PR

  Medicare reassignment NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1922712413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701239",
            "telephone_number": "787-356-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694832",
            "telephone_number": "787-356-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO VASCULAR SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-356-3791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DABR"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guaynabo Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fredesvinda Guerrero Polanco
• Kalyan Amani Guerrero-Thillet
• Ivelisse Guerrero

• Vascular & Interventional Radiology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Vascular & Interventional Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.