GLADYS SANDRA DELIZ-FIGUEROA M.D.
NPI 1578557435
General Practice in Bayamon, PR

NPI Status: Active since September 07, 2005

Contact Information

73 CALLE SANTA CRUZ
EDIFICIO MEDICO SANTA CRUZ, SUITE 304
BAYAMON, PR
ZIP 00961
Phone: (787) 269-3986
Fax: (787) 995-3775

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  • Individual
  • Female
  • Years of Experience 34
  • General Practice
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About GLADYS DELIZ-FIGUEROA

This page provides the complete NPI Profile along with additional information for Gladys Deliz-figueroa, a primary care provider established in Bayamon, Puerto Rico with a medical specialization in General Practice and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1578557435 assigned on September 2005. The practitioner's primary taxonomy code is 208D00000X with license number 12079 (PR). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1578557435
Provider Name
GLADYS SANDRA DELIZ-FIGUEROA M.D.
Gender
Female
Entity Type
Individual
Location Address
73 CALLE SANTA CRUZ EDIFICIO MEDICO SANTA CRUZ, SUITE 304 BAYAMON, PR 00961
Location Phone
(787) 269-3986
Location Fax
(787) 995-3775
Mailing Address
73 CALLE SANTA CRUZ EDIFICIO MEDICO SANTA CRUZ, SUITE 304 BAYAMON, PR 00961
Mailing Phone
(787) 269-3986
Mailing Fax
(787) 995-3775
Medical School Name
OTHER
Graduation Year
1993
Is Sole Proprietor?
No
Enumeration Date
09-07-2005
Last Update Date
10-02-2012
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A primary care provider (PCP) like Gladys Deliz-figueroa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
12079
License State
PR
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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
G42599MEDICARE UPIN (02)PR 
12079OTHER (01)PRMEDICAL LICENCE
88053MEDICARE ID-TYPE UNSPECIFIED (04)PR 

Medicare Participation & PECOS Enrollment Status

Gladys Deliz-figueroa 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.

Gladys Deliz-figueroa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527446889

    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: I20220528000148

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for GLADYS SANDRA DELIZ-FIGUEROA M.D.

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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 1578557435, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 0 + 5 + 1 + 4 + 4 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1578557435.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
73 CALLE SANTA CRUZ, SUITE 410
BAYAMON, PR 00961
Family Medicine (Adult Medicine)
73 CALLE SANTA CRUZ, STE 314
BAYAMON, PR 00961
General Practice
73 CALLE SANTA CRUZ, SANTA CRUZ MEDICAL BLDG STE 409
BAYAMON, PR 00961
Internal Medicine
73 CALLE SANTA CRUZ, STE 106
BAYAMON, PR 00961
Surgery (Pediatric Surgery)
73 CALLE SANTA CRUZ, SUITE 309, SANTA CRUZ MEDICAL BLDG.
BAYAMON, PR 00961
Psychiatry & Neurology (Neurology)
73 CALLE SANTA CRUZ, SUITE 308
BAYAMON, PR 00961
Radiology (Diagnostic Radiology)
73 CALLE SANTA CRUZ, OFICINA 103
BAYAMON, PR 00961
Dentist (General Practice)
73 CALLE SANTA CRUZ, SUITE 104 EDIFICIO MEDICO
BAYAMON, PR 00961
Surgery (Vascular Surgery)
73 CALLE SANTA CRUZ, EDIF MEDICO STA CRUZ SUITE 315
BAYAMON, PR 00961
Neuromusculoskeletal Medicine, Sports Medicine
73 CALLE SANTA CRUZ, SUITE 307,
BAYAMON, PR 00961
Specialist
73 CALLE SANTA CRUZ, SUITE 214 SANTA CRUZ MEDICAL
BAYAMON, PR 00961
Pharmacist
73 CALLE SANTA CRUZ, SUITE 101
BAYAMON, PR 00961
Psychiatry & Neurology (Neurology)
73 CALLE SANTA CRUZ, EDIF. MEDICO SANTA CRUZ SUITE 404
BAYAMON, PR 00961
Psychiatry & Neurology (Neurology)
73 CALLE SANTA CRUZ, SUITE # 303
BAYAMON, PR 00961
Dietitian, Registered
73 CALLE SANTA CRUZ, SUITE 307
BAYAMON, PR 00961
Psychiatry & Neurology (Neurology)
73 CALLE SANTA CRUZ, EDIF. MEDICO SANTA CRUZ SUITE 404
BAYAMON, PR 00961
Pediatrics
73 CALLE SANTA CRUZ, STE 301
BAYAMON, PR 00961
Clinic/Center (Radiology)
73 CALLE SANTA CRUZ, EDIFICIO MEDICO STA CRUZ OFIC 103
BAYAMON, PR 00961
Specialist
73 CALLE SANTA CRUZ, STE 204
BAYAMON, PR 00961
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 CALLE SANTA CRUZ, EDIF. MEDICO SANTA CRUZ SUITE 413
BAYAMON, PR 00961

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578557435, enumerated as an "individual" on September 07, 2005.

The provider is located at 73 CALLE SANTA CRUZ EDIFICIO MEDICO SANTA CRUZ, SUITE 304 BAYAMON, PR 00961 and the phone number is (787) 269-3986.

General Practice with taxonomy code 208D00000X.

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