APCG UROLOGY C S P
NPI 1285777326
Exclusive Provider Organization in Guayama, PR

NPI Status: Active since February 15, 2007

Contact Information

HOSPITAL EPISCOPAL CRISTO REDENTOR
AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA
GUAYAMA, PR
ZIP 00784
Phone: (787) 864-4300
Fax: (787) 864-6488

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About APCG UROLOGY C S P

This page provides the complete NPI Profile along with additional information for Apcg Urology C S P, a provider established in Guayama, Puerto Rico operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1285777326 assigned on February 2007. The practitioner's primary taxonomy code is 302F00000X with license number 14585 (PR). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Alberto Corica Guinle M.d. (Administrator)

NPI
1285777326
Provider Name
APCG UROLOGY C S P
Entity Type
Organization
Location Address
HOSPITAL EPISCOPAL CRISTO REDENTOR AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA GUAYAMA, PR 00784
Location Phone
(787) 864-4300
Location Fax
(787) 864-6488
Mailing Address
P.O.BOX 2908 GUAYAMA, PR 00784
Mailing Phone
(787) 864-4300
Mailing Fax
(787) 864-6488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
11-24-2015
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
14585
License State
PR
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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.

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

DR. ALBERTO CORICA GUINLE M.D.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(787) 866-3355

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
H69392MEDICARE UPIN (02)PR 
0021089MEDICARE ID-TYPE UNSPECIFIED (04)PRPROVIDER NUMBER MEDICARE
7850017OTHER (01)PRHUMANA INSURANCE
207045OTHER (01)PRUTI PROVDIERNUMBER
2721OTHER (01)PRPREFERRED CHOICE
9824OTHER (01)PRINTERNATIONAL MEDICAL CAR
21089OTHER (01)PRSSS PROVIDER NUMBER

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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 1285777326, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 4 + 7 + 1 + 4 + 3 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1285777326.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
HOSPITAL EPISCOPAL CRISTO REDENTOR, OFICINA DE GASTROENTEROLOGIA
GUAYAMA, PR 00784
Urology
HOSPITAL EPISCOPAL CRISTO REDENTOR, 1ST LEVEL, AVE. PEDRO ALBIZU CAMPOS, URB.HACIENDA
GUAYAMA, PR 00784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285777326, enumerated as an "organization" on February 15, 2007.

The provider is located at HOSPITAL EPISCOPAL CRISTO REDENTOR AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA GUAYAMA, PR 00784 and the phone number is (787) 864-4300.

Exclusive Provider Organization with taxonomy code 302F00000X.

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