CDT DR. ENRIQUE KOPPISH
NPI 1811101686
Clinic/Center - Public Health, State or Local in San Juan, PR

NPI Status: Active since May 10, 2007

Contact Information

404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS
SAN JUAN, PR
ZIP 00924
Phone: (787) 480-3586

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  • Organization
  • Clinic/Center
  • Public Health, State or Local
  • CLIA Number: 40D2015472
  • CLIA Cert. Type: Other - HOSPITAL MUNICIPAL LAB
  • CLIA Exp. Date: 10-27-2026

About CDT DR. ENRIQUE KOPPISH

This page provides the complete NPI Profile along with additional information for Cdt Dr. Enrique Koppish, a primary care provider established in San Juan, Puerto Rico operating as a Clinic/center, focusing in public health, state or local . The healthcare provider is registered in the NPI registry with number 1811101686 assigned on May 2007. The practitioner's primary taxonomy code is 261QP0905X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mrs. Angeliz Rodriguez Lic (Administrator)

NPI
1811101686
Provider Name
CDT DR. ENRIQUE KOPPISH
Entity Type
Organization
Location Address
404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS SAN JUAN, PR 00924
Location Phone
(787) 480-3586
Mailing Address
PO BOX 21405 SAN JUAN, PR 00928
Mailing Phone
(787) 480-3876
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
02-27-2024
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A primary care provider (PCP) like Cdt Dr. Enrique Koppish 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

Clinic/Center Public Health, State or Local

Taxonomy Code
261QP0905X
Type
Ambulatory Health Care Facilities

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.

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

MRS. ANGELIZ RODRIGUEZ LIC

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(787) 480-3586

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
030364OTHER (01)PRCRUZ AZL
9230049OTHER (01)PRHUMANA TODOS
=========OTHER (01)PRCIGNA EXCLUSIVE
=========OTHER (01)PRMAPHRE HEALTH MED ADV
6604270EKMEDICAID (05)PR 
=========OTHER (01)PRAMERICAN HEALTH
=========OTHER (01)PRCIGNA PREFERRED
1138OTHER (01)PRPROSAM
=========MEDICAID (05)PR 
6604270EKOTHER (01)PRCOSVI PRIVADO
700031OTHER (01)PRMMM
=========OTHER (01)PRMCS LIFE
N875OTHER (01)PRFIRST MEDICAL
1001051OTHER (01)PRACCA
=========OTHER (01)PRPAN AMERICAN
=========OTHER (01)PRGOLDEN CROSS

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
40D2015472
Facility Type
Other - HOSPITAL MUNICIPAL LAB
Certificate Effective Date
October 28, 2024
Certificate Expiration Date
October 27, 2026
Laboratory Director
DR. VERONICA RODRIGUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cdt Dr. Enrique Koppish to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CDT DR. ENRIQUE KOPPISH

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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 1811101686, 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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 1 → 2 1 → 2 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 2 + 0 + 2 + 6 + 1 + 6 + 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 1811101686.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811101686, enumerated as an "organization" on May 10, 2007.

The provider is located at 404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS SAN JUAN, PR 00924 and the phone number is (787) 480-3586.

Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.

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