HOSPITAL MENONITA DE GUAYAMA
NPI 1639696289
General Acute Care Hospital - Critical Access in Guayama, PR

NPI Status: Active since August 24, 2017

Contact Information

ESQUINA PRINCIPAL
URB. LA HACIENDA ALBIZU CAMPOS
GUAYAMA, PR
ZIP 00784
Phone: (787) 434-1700
Fax: (787) 434-1714

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • CLIA Number: 40D0658089
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-30-2027

About HOSPITAL MENONITA DE GUAYAMA

This page provides the complete NPI Profile along with additional information for Hospital Menonita De Guayama, a provider established in Guayama, Puerto Rico operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1639696289 assigned on August 2017. The practitioner's primary taxonomy code is 282NC0060X with license number 17-086 (PR). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Hospital Menonita De Guayama. The authorized official of this NPI record is Lissette Vazquez Rivera (Billing And Coding Manager)

NPI
1639696289
Provider Legal Name
HOSPITAL MENONITA GUAYAMA INC
Other Organization Name
HOSPITAL MENONITA DE GUAYAMA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
ESQUINA PRINCIPAL URB. LA HACIENDA ALBIZU CAMPOS GUAYAMA, PR 00784
Location Phone
(787) 434-1700
Location Fax
(787) 434-1714
Mailing Address
PO BOX 1650 CIDRA, PR 00739
Mailing Phone
(787) 434-1700
Mailing Fax
(787) 434-1714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2017
Last Update Date
06-16-2018
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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

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
17-086
License State
PR

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.

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

LISSETTE VAZQUEZ RIVERA

Authorized Official Title
BILLING AND CODING MANAGER
Authorized Official Phone
(787) 434-1700

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
=========MEDICAID (05)PR 
400048MEDICAID (05)PR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
40D0658089
Facility Type
Hospital
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
MRS. LYZZETTE ALICEA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Hospital Menonita De Guayama on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1639696289, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 3 → 6 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 9 + 1 + 2 + 2 + 1 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1639696289.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639696289, enumerated as an "organization" on August 24, 2017.

The provider is located at ESQUINA PRINCIPAL URB. LA HACIENDA ALBIZU CAMPOS GUAYAMA, PR 00784 and the phone number is (787) 434-1700.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.

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