GRUPO EMERGENCIAS PEDIATRICAS FAJARDO
NPI 1083758163
Emergency Medicine - Pediatric Emergency Medicine in Fajardo, PR
NPI Status: Active since February 20, 2007
Contact Information
HIMA SAN PABLO FAJARDO
AVE GENERAL VALERO 404
FAJARDO, PR
ZIP 00738
Phone: (787) 655-0505
Fax: (787) 655-5086
- Organization
- Emergency Medicine
- Pediatric Emergency Medicine
- CLIA Number: 40D0658081
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-10-2028
About GRUPO EMERGENCIAS PEDIATRICAS FAJARDO
This page provides the complete NPI Profile along with additional information for Grupo Emergencias Pediatricas Fajardo, a provider established in Fajardo, Puerto Rico operating as a Emergency Medicine, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1083758163 assigned on February 2007. The practitioner's primary taxonomy code is 207PP0204X with license number 6893 (PR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Grupo Emergencias Pediatricas Fajardo. The authorized official of this NPI record is Mr. Orlando Rivera Lcdo (Executive Director)
- NPI
- 1083758163
- Provider Legal Name
- CENTRO MEDICO DEL TURABO INC
- Other Organization Name
- GRUPO EMERGENCIAS PEDIATRICAS FAJARDO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- HIMA SAN PABLO FAJARDO AVE GENERAL VALERO 404 FAJARDO, PR 00738
- Location Phone
- (787) 655-0505
- Location Fax
- (787) 655-5086
- Mailing Address
- PO BOX 4980 CAGUAS, PR 00726
- Mailing Phone
- (787) 653-3434
- Mailing Fax
- (787) 655-5086
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2007
- Last Update Date
- 08-12-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Pediatric Emergency Medicine
- Taxonomy Code
- 207PP0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 6893
- License State
- PR
- Taxonomy Description
- Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10483 | OTHER (01) | PR | MEDICAL LICENSE |
| 11744 | OTHER (01) | PR | MEDICAL LICENSE |
| 14540 | OTHER (01) | PR | MEDICAL LICENSE |
| 12373 | OTHER (01) | PR | MEDICAL LICENSE |
| 7291 | OTHER (01) | PR | MEDICAL LICENSE |
| 10792 | OTHER (01) | PR | MEDICAL LICENSE |
| 6893 | OTHER (01) | PR | MEDICAL LICENSE |
| 4494 | OTHER (01) | PR | MEDICAL LICENSE |
| 12929 | OTHER (01) | PR | MEDICAL LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 40D0658081
- Facility Type
- Hospital
- Certificate Effective Date
- June 11, 2026
- Certificate Expiration Date
- June 10, 2028
- Laboratory Director
- FIDEL DE FRIAS JIMENEZ
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Grupo Emergencias Pediatricas Fajardo after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083758163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
FAJARDO, PR 00738
FAJARDO, PR 00738
FAJARDO, PR 00738
FAJARDO, PR 00738
FAJARDO, PR 00738
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083758163, enumerated as an "organization" on February 20, 2007.
The provider is located at HIMA SAN PABLO FAJARDO AVE GENERAL VALERO 404 FAJARDO, PR 00738 and the phone number is (787) 655-0505.
Emergency Medicine with taxonomy code 207PP0204X and a focus in Pediatric Emergency Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
