CENTRO DE VACUNACION Y SERVIVIOS INTEGRADOS DE SALUD,INC.
NPI 1255879474
Clinic/Center - Multi-Specialty in Anasco, PR

NPI Status: Active since February 08, 2017

Contact Information

CARRETERA 402 4.6KM
BOX PINALES
ANASCO, PR
ZIP 00610
Phone: (787) 229-1110
Fax: (787) 229-1110

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 40D2042950
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-05-2027

About CENTRO DE VACUNACION Y SERVIVIOS INTEGRADOS DE SALUD,INC.

This page provides the complete NPI Profile along with additional information for Centro De Vacunacion Y Servivios Integrados De Salud,inc., a provider established in Anasco, Puerto Rico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1255879474 assigned on February 2017. The practitioner's primary taxonomy code is 261QM1300X with license number 029804 (PR). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Adolfo Matias (Administrator)

NPI
1255879474
Provider Name
CENTRO DE VACUNACION Y SERVIVIOS INTEGRADOS DE SALUD,INC.
Entity Type
Organization
Location Address
CARRETERA 402 4.6KM BOX PINALES ANASCO, PR 00610
Location Phone
(787) 229-1110
Location Fax
(787) 229-1110
Mailing Address
RR 2 BOX 2725 ANASCO, PR 00610
Mailing Phone
(787) 229-1110
Mailing Fax
(787) 229-1110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2017
Last Update Date
02-08-2017
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
029804
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)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

14771 (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

MR. ADOLFO MATIAS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(787) 229-1110

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
40D2042950
Facility Type
Community Clinic
Certificate Effective Date
March 06, 2025
Certificate Expiration Date
March 05, 2027
Laboratory Director
GIONOURIS FELICIANO-MENDEZ
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Centro De Vacunacion Y Servivios Integrados De Salud,inc. 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 1255879474, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 5 → 10 → 1 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 6 + 7 + 1 + 8 + 4 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255879474.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255879474, enumerated as an "organization" on February 08, 2017.

The provider is located at CARRETERA 402 4.6KM BOX PINALES ANASCO, PR 00610 and the phone number is (787) 229-1110.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.