DR. ORLANDO FIGUEROA HERNANDEZ DC
NPI 1306428297
Chiropractor - Independent Medical Examiner in Bayamon, PR

NPI Status: Active since April 21, 2021

Contact Information

BLOQUE 51 #55 CALLE MARGINAL
SANTA ROSA LOCAL 1
BAYAMON, PR
ZIP 00959
Phone: (787) 395-7764

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  • Individual
  • Male
  • Years of Experience 6
  • Chiropractor
  • Independent Medical Examiner
  • Accepts Medicare Approved Payment

About ORLANDO FIGUEROA HERNANDEZ

This page provides the complete NPI Profile along with additional information for Orlando Figueroa Hernandez, a provider established in Bayamon, Puerto Rico with a medical specialization in Chiropractor, focusing in independent medical examiner and more than 6 years of experience. He graduated from Sherman College Of Straight Chiropractic in 2020. The healthcare provider is registered in the NPI registry with number 1306428297 assigned on April 2021. The practitioner's primary taxonomy code is 111NI0013X with license number 00768 (PR). The provider is registered as an individual and his NPI record was last updated one year 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.

NPI
1306428297
Provider Name
DR. ORLANDO FIGUEROA HERNANDEZ DC
Gender
Male
Entity Type
Individual
Location Address
BLOQUE 51 #55 CALLE MARGINAL SANTA ROSA LOCAL 1 BAYAMON, PR 00959
Location Phone
(787) 395-7764
Mailing Address
P O BOX 1077 BO. CACAO ALTO SEC. LOS FIGUEROA PATILLAS, PR 00723
Mailing Phone
(787) 430-1044
Medical School Name
SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
04-21-2021
Last Update Date
01-15-2025
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A chiropractor like Orlando Figueroa Hernandez helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Secondary Locations

  • Carr. 693 KM 8.3 Dorado Classic Court Suite 3
    Dorado, PR 00646
    (787) 430-1044

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

Chiropractor Independent Medical Examiner

Taxonomy Code
111NI0013X
Type
Chiropractic Providers
License No.
00768
License State
PR
Taxonomy Description
A chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

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
000768OTHER (01)PRLICENSE

Medicare Participation & PECOS Enrollment Status

Orlando Figueroa Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7012307994

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211208001833

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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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 1306428297, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 8 + 2 + 1 + 6 + 2 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1306428297.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
BLOQUE 51 #55 CALLE MARGINAL, SANTA ROSA LOCAL 1
BAYAMON, PR 00959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306428297, enumerated as an "individual" on April 21, 2021.

The provider is located at BLOQUE 51 #55 CALLE MARGINAL SANTA ROSA LOCAL 1 BAYAMON, PR 00959 and the phone number is (787) 395-7764.

Chiropractor with taxonomy code 111NI0013X and a focus in Independent Medical Examiner.

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