ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
NPI 1104907682
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Trujillo Alto, PR

NPI Status: Active since October 18, 2006

Contact Information

CALLE ANICETO DIAZ INTERSECCION 876
EXPRESO TRUJILLO ALTO
TRUJILLO ALTO, PR
ZIP 00978
Phone: (787) 292-7979
Fax: (787) 292-7999

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About ATLANTIS HEALTH CARE GROUP PUERTO RICO INC

This page provides the complete NPI Profile along with additional information for Atlantis Health Care Group Puerto Rico Inc, a provider established in Trujillo Alto, Puerto Rico operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1104907682 assigned on October 2006. The practitioner's primary taxonomy code is 261QE0700X with license number LIC #3 CNC 01-109 (PR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Rubette Harford (President & Ceo)

NPI
1104907682
Provider Name
ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
Entity Type
Organization
Location Address
CALLE ANICETO DIAZ INTERSECCION 876 EXPRESO TRUJILLO ALTO TRUJILLO ALTO, PR 00978
Location Phone
(787) 292-7979
Location Fax
(787) 292-7999
Mailing Address
PO BOX 1350 ST. JUST STATION SAINT JUST, PR 00978
Mailing Phone
(787) 292-7979
Mailing Fax
(787) 292-7999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2006
Last Update Date
09-09-2016
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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

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
LIC #3 CNC 01-109
License State
PR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC #23 CNC 05-260 (PR)
2261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC #12 CNC 04-126 (PR)
3261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC #19 CNC 01-107 (PR)
4261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC #37 CNC 02-166 (PR)
5261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC #25 CNC 01-108 (PR)
6261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

27 CNC 02-162 (PR)
7261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC NUM 36 (PR)
8261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC. #44 CNC12-087 (PR)
9261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC # 46 CNC 13-051 (PR)
10261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

LIC #28 CNC 03-278 (PR)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RUBETTE HARFORD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(787) 292-7979

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
402521MEDICARE OSCAR/CERTIFICATION (06)PR 
402536MEDICARE OSCAR/CERTIFICATION (06)PR 
402541MEDICARE OSCAR/CERTIFICATION (06)PR 
402510MEDICARE OSCAR/CERTIFICATION (06)PR 
402539MEDICARE OSCAR/CERTIFICATION (06)PR 
402527MEDICARE OSCAR/CERTIFICATION (06)PR 
402533MEDICARE OSCAR/CERTIFICATION (06)PR 
402548MEDICARE OSCAR/CERTIFICATION (06)PR 
402552MEDICARE OSCAR/CERTIFICATION (06)PR 
402519MEDICARE OSCAR/CERTIFICATION (06)PR 
402547MEDICARE OSCAR/CERTIFICATION (06)PR 

Reviews for ATLANTIS HEALTH CARE GROUP PUERTO RICO INC

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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 1104907682, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 0 + 1 + 4 + 6 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104907682.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104907682, enumerated as an "organization" on October 18, 2006.

The provider is located at CALLE ANICETO DIAZ INTERSECCION 876 EXPRESO TRUJILLO ALTO TRUJILLO ALTO, PR 00978 and the phone number is (787) 292-7979.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.