PHYSICIANS HMO
PHYSICIANS HMO is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1407215585, based in Carolina, PR. The organization lists 3 taxonomy classifications, with Emergency Medicine Physician recorded as primary.
Getting there
The practice address on file is CAROLINA SHOPPING COUNTI SUITE 201A, Carolina, PR 00985. 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
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
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 Emergency Medicine covers
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | — | PR | primary |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services | — | — | |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician Pediatric Emergency Medicine | — | 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 | 1407215585 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 17, 2016 |
| Last updated | Feb 15, 2022 |
| Status | Active |
| Practice address |
CAROLINA SHOPPING COUNTI SUITE 201A Carolina, PR 00985 (787) 767-8758 Fax (844) 759-2968 |
| Mailing address |
PO BOX 193044 San Juan, PR 00919 |
| Other identifiers |
038980900
· Medicaid (PR) |
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 | 4 | 0 | 7 | 2 | 1 | 5 | 5 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 4 | 1 | 1 | 5 | 7 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
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.