POLICLINIC RADIOLOGY DEPARTMENT
NPI 1144514951
Clinic/Center - Radiology, Mammography in Mayaguez, PR

NPI Status: Active since June 09, 2011

Contact Information

AVE HOSTOS
NUMBER 770
MAYAGUEZ, PR
ZIP 00682
Phone: (787) 834-6161
Fax: (787) 834-4635

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  • Organization
  • Clinic/Center
  • Radiology, Mammography
  • CLIA Number: 40D2190383
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 10-27-2025

About POLICLINIC RADIOLOGY DEPARTMENT

This page provides the complete NPI Profile along with additional information for Policlinic Radiology Department, a provider established in Mayaguez, Puerto Rico operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1144514951 assigned on June 2011. The practitioner's primary taxonomy code is 261QR0206X with license number 200394 (PR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Policlinic Radiology Department. The authorized official of this NPI record is Mr. Enrique Rivera Mba (Cfo)

NPI
1144514951
Provider Legal Name
BELLA VISTA POLICLINIC INC
Other Organization Name
POLICLINIC RADIOLOGY DEPARTMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
AVE HOSTOS NUMBER 770 MAYAGUEZ, PR 00682
Location Phone
(787) 834-6161
Location Fax
(787) 834-4635
Mailing Address
AVE HOSTOS NUMBER 770 MAYAGUEZ, PR 00682
Mailing Phone
(787) 834-6161
Mailing Fax
(787) 834-4635
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-09-2011
Last Update Date
06-09-2011
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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 Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities
License No.
200394
License State
PR

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.

*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

MR. ENRIQUE RIVERA MBA

Authorized Official Title
CFO
Authorized Official Phone
(787) 834-6000

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
28395MEDICARE PIN (08)PR 

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
40D2190383
Facility Type
Independent
Certificate Effective Date
October 28, 2023
Certificate Expiration Date
October 27, 2025
Laboratory Director
MRS. DAYANA M. PEREZ-PENA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Policlinic Radiology Department after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for POLICLINIC RADIOLOGY DEPARTMENT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144514951
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841018910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 1 + 8 + 9 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1144514951 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811932908MAYAGUEZ ADVANCED RADIOTHERAPY CENTER
Organization
Radiologic Technologist (Radiation Therapy)AVE HOSTOS CENTRO MEDICO RAMON E. BETANCES
MAYAGUEZ, PR 00682
(787) 834-6070
1013945286DR. ORESTE CASTELLANOS M.D.
Individual
Family Medicine (Adult Medicine)AVE HOSTOS CENTRO MEDICO RAMON E. BETANCES
MAYAGUEZ, PR 00682
(787) 834-6070
1013128248 JACQUELINE JIMENEZ M.S
Individual
Speech-Language PathologistAVE HOSTOS SUITE 15
MAYAGUEZ, PR 00682
(787) 832-7355
1528237617MRS. CARMEN I LOPEZACEVEDO RPT
Individual
Physical TherapistAVE HOSTOS SUITE 1
MAYAGUEZ, PR 00682
(787) 832-6015
1811221088WESTERN RADIOTHERAPY CANCER CENTER
Organization
Radiologic Technologist (Radiation Therapy)AVE HOSTOS CENTRO MEDICO RAMON E. BETANCES
MAYAGUEZ, PR 00682
(787) 834-6070
1861786501DR. NOMARIS CANCEL-CRUZ PHARM D
Individual
PharmacistAVE HOSTOS 505
MAYAGUEZ, PR 00682
(787) 367-4839
1013140383MAYAGUEZ MEDICAL CENTER DR RAMON EMETERIO BETANCES INC
Organization
General Acute Care HospitalAVE HOSTOS #410
MAYAGUEZ, PR 00682
(787) 652-9200
1164809182 EVY ANN RYAN L.N.D.
Individual
NutritionistAVE HOSTOS 201 EDIFICIO OFFICE PARK IV BUILDING
MAYAGUEZ, PR 00682
(787) 710-2532
1043246788BELLA VISTA POLICLINIC, INC
Organization
Clinic/CenterAVE HOSTOS NUMBER 770
MAYAGUEZ, PR 00682
(787) 834-6161
1396877619CENTRO UROLOGICO DEL OESTE
Organization
UrologyAVE HOSTOS CENTRO MEDICO DE MAYAGUEZ
MAYAGUEZ, PR 00682
(787) 335-9208
1508070053FARMACIA POLICLINICA BELLA VISTA
Organization
PharmacyAVE HOSTOS NUMBER 770
MAYAGUEZ, PR 00682
(787) 834-6161
1295818730 JULIO A BACO M.D.
Individual
General PracticeAVE HOSTOS CLINICA DE INMUNOLOGIA (CPTET)
MAYAGUEZ, PR 00682
(787) 834-2118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144514951, enumerated in the NPI registry as an "organization" on June 09, 2011

The provider is located at Ave Hostos Number 770 Mayaguez, Pr 00682 and the phone number is (787) 834-6161

This medical organization specializes in Clinic/Center with taxonomy code 261QR0206X with a focus in Radiology, Mammography

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 40D2190383 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 09, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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