DR. MANUEL DE JESUS ROMAN M.D.
NPI 1730399494
Health Maintenance Organization in Anasco, PR

NPI Status: Active since May 23, 2007

Contact Information

BO. CARRERAS
CAR. 405 KM 2.4
ANASCO, PR
ZIP 00610
Phone: (787) 806-8347

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  • Individual
  • Male
  • Health Maintenance Organization

About MANUEL ROMAN

This page provides the complete NPI Profile along with additional information for Manuel Roman, a provider established in Anasco, Puerto Rico with a medical specialization in Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1730399494 assigned on May 2007. The practitioner's primary taxonomy code is 302R00000X with license number 6927 (PR). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1730399494
Provider Name
DR. MANUEL DE JESUS ROMAN M.D.
Gender
Male
Entity Type
Individual
Location Address
BO. CARRERAS CAR. 405 KM 2.4 ANASCO, PR 00610
Location Phone
(787) 806-8347
Mailing Address
BO. CARRERAS CAR. 405 KM 2.4 ANASCO, PR 00610
Mailing Phone
(787) 806-8347
Is Sole Proprietor?
Yes
Enumeration Date
05-23-2007
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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
6927
License State
PR
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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
S94-500MEDICARE ID-TYPE UNSPECIFIED (04)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 1730399494, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 6 + 9 + 1 + 8 + 4 + 1 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1730399494.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730399494, enumerated as an "individual" on May 23, 2007.

The provider is located at BO. CARRERAS CAR. 405 KM 2.4 ANASCO, PR 00610 and the phone number is (787) 806-8347.

Health Maintenance Organization with taxonomy code 302R00000X.

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