DR. CARMEN LUISA MEDIAVILLA M.D.
NPI 1407050776
Clinic/Center - Medically Fragile Infants and Children Day Care in Hato Rey, PR

NPI Status: Active since June 12, 2007

Contact Information

400 AVE. F.D. ROOSEVELT
,CLINICA LAS AMERICAS SUITE 203
HATO REY, PR
ZIP 00918
Phone: (787) 783-4423
Fax: (787) 781-5342

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  • Individual
  • Female
  • Clinic/Center
  • Medically Fragile Infants and Children D...

About CARMEN MEDIAVILLA

This page provides the complete NPI Profile along with additional information for Carmen Mediavilla, a provider established in Hato Rey, Puerto Rico with a medical specialization in Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1407050776 assigned on June 2007. The practitioner's primary taxonomy code is 261QM3000X with license number 004984 (PR). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1407050776
Provider Name
DR. CARMEN LUISA MEDIAVILLA M.D.
Gender
Female
Entity Type
Individual
Location Address
400 AVE. F.D. ROOSEVELT ,CLINICA LAS AMERICAS SUITE 203 HATO REY, PR 00918
Location Phone
(787) 783-4423
Location Fax
(787) 781-5342
Mailing Address
400 AVE. F.D. ROOSEVELT ,CLINICA LAS AMERICAS SUITE 203 HATO REY, PR 00918
Mailing Phone
(787) 783-4423
Mailing Fax
(787) 781-5342
Is Sole Proprietor?
Yes
Enumeration Date
06-12-2007
Last Update Date
07-08-2007
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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 Medically Fragile Infants and Children Day Care

Taxonomy Code
261QM3000X
Type
Ambulatory Health Care Facilities
License No.
004984
License State
PR
Taxonomy Description
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

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
98980OTHER (01)PRPROVIDER #TRIPLE-S MANAGE
004984OTHER (01)PRLICENSE MD,PR

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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 1407050776, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 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 0 → 0 0 → 0 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 0 + 5 + 0 + 7 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1407050776.

Other Providers at the Same Location


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

Psychiatry & Neurology (Psychiatry)
400 AVE. F.D. ROOSEVELT, SUITE 410
SAN JUAN, PR 00918
Pharmacy (Community/Retail Pharmacy)
400 AVE. F.D. ROOSEVELT, 102 CLINICA LAS AMERICAS
SAN JUAN, PR 00918

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407050776, enumerated as an "individual" on June 12, 2007.

The provider is located at 400 AVE. F.D. ROOSEVELT ,CLINICA LAS AMERICAS SUITE 203 HATO REY, PR 00918 and the phone number is (787) 783-4423.

Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.

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