Organization provider

HCO DR. MANUEL VIZCARRONDO

Exclusive Provider Organization General Practice Physician

HCO DR. MANUEL VIZCARRONDO is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1912242751, based in Salinas, PR. The organization lists 2 taxonomy classifications, with Exclusive Provider Organization recorded as primary.

Getting there

The practice address on file is BALDORIOTY 59, Salinas, PR 00751. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

BALDORIOTY 59, Salinas, PR 00751 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
8733 PR Exclusive Provider Organization primary

This provider holds licence 8733 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

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 Exclusive Provider Organization covers

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. NUCC Health Care Provider Taxonomy, code 302F00000X
Managed Care Organizations Exclusive Provider Organization

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.

CodeSpecialtyLicenceState
302F00000X Exclusive Provider Organization 8733 PR primary
208D00000X General Practice Physician

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.

NPI1912242751 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 5, 2012
Last updatedDec 6, 2012
StatusActive
Practice address BALDORIOTY
59
Salinas, PR 00751
(787) 824-6392
Mailing address PO BOX 2342
Guayama, PR 00785
This record was last updated on Dec 6, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1912242751 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 9 1 2 2 4 2 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 2 2 4 4 4 7 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

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.

Common questions

What is NPI number 1912242751?
NPI 1912242751 is the National Provider Identifier assigned to HCO DR. MANUEL VIZCARRONDO in Salinas, PR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Exclusive Provider Organization cover?
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO…
How do I contact HCO DR. MANUEL VIZCARRONDO?
The phone number on file with NPPES is (787) 824-6392, last updated Dec 6, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1912242751 a valid number?
Yes. 1912242751 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.