CDT MARICAO MEDICAL CENTER LLC
NPI 1114336914
Clinic/Center - Emergency Care in Maricao, PR

NPI Status: Active since August 05, 2014

Contact Information

11 AVE LUCHETTI
MARICAO, PR
ZIP 00606
Phone: (787) 940-4685

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  • Organization
  • Clinic/Center
  • Emergency Care
  • CLIA Number: 40D2083497
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-18-2027

About CDT MARICAO MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Cdt Maricao Medical Center Llc, a provider established in Maricao, Puerto Rico operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1114336914 assigned on August 2014. The practitioner's primary taxonomy code is 261QE0002X with license number 14450 (PR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Edrick N Ramirez Md (President)

NPI
1114336914
Provider Name
CDT MARICAO MEDICAL CENTER LLC
Entity Type
Organization
Location Address
11 AVE LUCHETTI MARICAO, PR 00606
Location Phone
(787) 940-4685
Mailing Address
PO BOX 938 HATILLO, PR 00659
Mailing Phone
(787) 940-4685
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2014
Last Update Date
08-05-2014
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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 Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities
License No.
14450
License State
PR

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

DR. EDRICK N RAMIREZ MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(787) 940-4685

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
40D2083497
Facility Type
Community Clinic
Certificate Effective Date
May 19, 2025
Certificate Expiration Date
May 18, 2027
Laboratory Director
MRS. YAHAIRA MORALES
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Cdt Maricao Medical Center Llc 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 1114336914, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 1 → 2 3 → 6 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 3 + 1 + 2 + 9 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114336914.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114336914, enumerated as an "organization" on August 05, 2014.

The provider is located at 11 AVE LUCHETTI MARICAO, PR 00606 and the phone number is (787) 940-4685.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.