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DR. ALBERTO CORICA GUINLE M.D.
NPI 1336280429
Urology in Guayama, PR

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
HOSPITAL EPISCOPAL CRISTO REDENTOR, 1ST LEVEL, AVE. PEDRO ALBIZU CAMPOS, URB.HACIENDA, GUAYAMA, PR 00784(787) 866-3355(787) 864-6488 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alberto Corica Guinle M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALBERTO CORICA GUINLE M.D. (NPI 1336280429) is an individual urology provider in Guayama, Puerto Rico, licensed in Puerto Rico (14585) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Hospital Metropolitano Dr Pila, and is a graduate of Other (1966).

NPPES Registry Identity

NPI1336280429
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ALBERTO CORICA GUINLECredential: M.D.
Location AddressHOSPITAL EPISCOPAL CRISTO REDENTOR, 1ST LEVEL, AVE. PEDRO ALBIZU CAMPOS, URB.HACIENDAGuayama, PR 00784
Mailing AddressP.o. Box 2908Guayama, PR 00785-2908 · (787) 866-3355 · Fax (787) 864-6488
Phone(787) 866-3355
Fax(787) 864-6488
Sole ProprietorYes
Medical School CMSOtherGraduated 1966
Enumeration DateFebruary 9, 2007
Last NPPES UpdateMarch 18, 2015
✔ NPI 1336280429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PR · 14585
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
HOSPITAL EPISCOPAL CRISTO REDENTOR, Guayama, PR 00784
Open in Google Maps ↗

Other Identifiers 5

Other7850017PR · Humana Insurance
Medicare ID-Type Unspecified0021089PR · Medicare Provider Number
Other062193PR · Cruz Azul Of P.r.
Other9824PR · In Ternational Medical Ca
Medicare UPINH69392PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alberto Corica Guinle M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820066301
PECOS Enrollment IDI20040922000620
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services42 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
17 services16 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
15 services14 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
13 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Metropolitano Dr Pila

Acute Care Hospitals · Ponce, PR
OwnershipProprietary
CMS Certification Number400003
Location2435 Boulevard Luis A FerrePonce, PR 00717 · Ponce County
Emergency services

Hospital Menonita Caguas Inc

Acute Care Hospitals · Caguas, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400104
LocationCarr 172 Exit 21 Urb Turabo GardensCaguas, PR 00725 · Caguas County
Emergency services

Hospital Pavia Caguas

Acute Care Hospitals · Caguas, PR
OwnershipProprietary
CMS Certification Number400120
LocationUrb Mariolga 100 Ave Luis Munoz MarinCaguas, PR 00725 · Caguas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00784 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%60 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%68 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APCG UROLOGY C S P
Exclusive Provider Organization
HOSPITAL EPISCOPAL CRISTO REDENTOR, AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA
GUAYAMA, PR 00784
Guayama Municipio (787) 864-4300
CENTRO DE GASTROENTEROLOGIA
Internal Medicine (Gastroenterology)
HOSPITAL EPISCOPAL CRISTO REDENTOR, OFICINA DE GASTROENTEROLOGIA
GUAYAMA, PR 00784
Guayama Municipio (787) 283-0804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alberto Corica Guinle's NPI number?

The NPI number for Alberto Corica Guinle is 1336280429. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Alberto Corica Guinle located?

Alberto Corica Guinle practices at Hospital Episcopal Cristo Redentor 1st Level, Ave. Pedro Albizu Campos, Urb.Hacienda, Guayama, PR 00784. The listed phone number is (787) 866-3355.

What is Alberto Corica Guinle's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Alberto Corica Guinle enrolled in Medicare?

Yes. Alberto Corica Guinle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alberto Corica Guinle affiliated with any hospitals?

According to CMS data, Alberto Corica Guinle is affiliated with Hospital Metropolitano Dr Pila, Hospital Menonita Caguas Inc and Hospital Pavia Caguas.

When was this NPI record last updated?

The NPPES record for Alberto Corica Guinle was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.