Organization provider

POLICLINICA LA FAMILIA TOA ALTA, INC.

Health Maintenance Organization Specialist Diagnostic Radiology Physician

POLICLINICA LA FAMILIA TOA ALTA, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1932136470, based in Toa Alta, PR. The organization lists 3 taxonomy classifications, with Health Maintenance Organization recorded as primary.

Getting there

The practice address on file is 10ST #G-21, URB. VILLA MATILDE, Toa Alta, PR 00953. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10ST #G-21, URB. VILLA MATILDE, Toa Alta, PR 00953 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9462 PR Health Maintenance Organization primary
13168 PR Specialist
14703 PR Specialist
7078 PR Specialist
14247 PR Health Maintenance Organization
10413 PR Health Maintenance Organization
5109 PR Health Maintenance Organization
2532 PR Diagnostic Radiology Physician

This provider holds licence 9462 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 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
Managed Care Organizations Health Maintenance Organization

All registered taxonomy codes

This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
302R00000X Health Maintenance Organization 9462 PR primary
174400000X Specialist 13168 PR
174400000X Specialist 14703 PR
174400000X Specialist 7078 PR
302R00000X Health Maintenance Organization 14247 PR
302R00000X Health Maintenance Organization 10413 PR
302R00000X Health Maintenance Organization 5109 PR
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 2532 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.

NPI1932136470 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 28, 2006
Last updatedJul 6, 2011
StatusActive
Practice address 10ST #G-21, URB. VILLA MATILDE
Toa Alta, PR 00953
(787) 870-7070
Fax (787) 870-6382
Mailing address PO BOX 867
Toa Alta, PR 00954
This record was last updated on Jul 6, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1932136470 passes the NPI check digit test The final digit 0 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 3 2 1 3 6 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 6 2 2 3 3 4 5

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

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 1932136470?
NPI 1932136470 is the National Provider Identifier assigned to POLICLINICA LA FAMILIA TOA ALTA, INC. in Toa Alta, 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 Health Maintenance Organization cover?
(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…
How do I contact POLICLINICA LA FAMILIA TOA ALTA, INC.?
The phone number on file with NPPES is (787) 870-7070, last updated Jul 6, 2011. 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 1932136470 a valid number?
Yes. 1932136470 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.