MR. SAMUEL BORRERO DE JESUS M.D.
NPI 1740257856
General Practice in Santa Isabel, PR
NPI Status: Active since March 07, 2006
Contact Information
909 PLAZA OASIS, CARR. 153
SUITE 1
SANTA ISABEL, PR
ZIP 00757
Phone: (787) 845-4466
Fax: (787) 845-8871
- Individual
- Male
- General Practice
- PECOS Enrolled
About SAMUEL BORRERO DE JESUS
This page provides the complete NPI Profile along with additional information for Samuel Borrero De Jesus, a primary care provider established in Santa Isabel, Puerto Rico with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1740257856 assigned on March 2006. The practitioner's primary taxonomy code is 208D00000X with license number 12016 (PR). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1740257856
- Provider Name
- MR. SAMUEL BORRERO DE JESUS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 909 PLAZA OASIS, CARR. 153 SUITE 1 SANTA ISABEL, PR 00757
- Location Phone
- (787) 845-4466
- Location Fax
- (787) 845-8871
- Mailing Address
- PO BOX 310 SANTA ISABEL, PR 00757
- Mailing Phone
- (787) 594-8871
- Mailing Fax
- (787) 845-8871
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-07-2006
- Last Update Date
- 12-19-2012
- Code Navigator
A primary care provider (PCP) like Samuel Borrero De Jesus 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.
- 12016
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 12016 (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.
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 |
|---|---|---|---|
| G46596 | MEDICARE UPIN (02) | PR | |
| 0089006 | MEDICARE ID-TYPE UNSPECIFIED (04) | PR | PROVIDER NUMBER |
Medicare Participation & PECOS Enrollment Status
Samuel Borrero De Jesus 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
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
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 4 | 0 | 2 | 5 | 7 | 8 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 4 | 5 | 14 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 4 + 5 + 1 + 4 + 8 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1740257856 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740257856, enumerated as an "individual" on March 07, 2006.
The provider is located at 909 PLAZA OASIS, CARR. 153 SUITE 1 SANTA ISABEL, PR 00757 and the phone number is (787) 845-4466.
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.
