COBERTURAS MEDICAS CORP.
COBERTURAS MEDICAS CORP. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1255638052, based in Gurabo, PR. The organization lists 2 taxonomy classifications, with Health Maintenance Organization recorded as primary.
Getting there
The practice address on file is 3 CALLE MATADERO S, Gurabo, PR 00778. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 40D2092036 | PR | Clinical Medical Laboratory |
This provider holds licence 40D2092036 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Health Maintenance Organization covers
(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. NUCC Health Care Provider Taxonomy, code 302R00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | — | — | primary |
| 291U00000X | Clinical Medical Laboratory | 40D2092036 | PR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1255638052 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 15, 2011 |
| Last updated | May 11, 2015 |
| Status | Active |
| Practice address |
3 CALLE MATADERO S Gurabo, PR 00778 (787) 653-5353 Fax (787) 653-5364 |
| Mailing address |
PO BOX 7589 Caguas, PR 00726 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 6 | 3 | 8 | 0 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 3 | 3 | 7 | 0 | 1 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.