DR. ALBERTO CORICA GUINLE M.D.
NPI 1336280429
Urology in Guayama, PR

NPI Status: Active since February 09, 2007

Contact Information

HOSPITAL EPISCOPAL CRISTO REDENTOR
1ST LEVEL, AVE. PEDRO ALBIZU CAMPOS, URB.HACIENDA
GUAYAMA, PR
ZIP 00784
Phone: (787) 866-3355
Fax: (787) 864-6488

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  • Individual
  • Male
  • Years of Experience 60
  • Urology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About ALBERTO CORICA GUINLE

This page provides the complete NPI Profile along with additional information for Alberto Corica Guinle, a provider established in Guayama, Puerto Rico with a medical specialization in Urology and more than 60 years of experience. The healthcare provider is registered in the NPI registry with number 1336280429 assigned on February 2007. The practitioner's primary taxonomy code is 208800000X with license number 14585 (PR). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1336280429
Provider Name
DR. ALBERTO CORICA GUINLE M.D.
Gender
Male
Entity Type
Individual
Location Address
HOSPITAL EPISCOPAL CRISTO REDENTOR 1ST LEVEL, AVE. PEDRO ALBIZU CAMPOS, URB.HACIENDA GUAYAMA, PR 00784
Location Phone
(787) 866-3355
Location Fax
(787) 864-6488
Mailing Address
P.O. BOX 2908 GUAYAMA, PR 00785
Mailing Phone
(787) 866-3355
Mailing Fax
(787) 864-6488
Medical School Name
OTHER
Graduation Year
1966
Is Sole Proprietor?
Yes
Enumeration Date
02-09-2007
Last Update Date
03-18-2015
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
14585
License State
PR
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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.

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.

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
7850017OTHER (01)PRHUMANA INSURANCE
0021089MEDICARE ID-TYPE UNSPECIFIED (04)PRMEDICARE PROVIDER NUMBER
062193OTHER (01)PRCRUZ AZUL OF P.R.
9824OTHER (01)PRIN TERNATIONAL MEDICAL CA
H69392MEDICARE UPIN (02)PR 

Medicare Participation & PECOS Enrollment Status

Alberto Corica Guinle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Alberto Corica Guinle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8820066301

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040922000620

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complete ultrasound scan behind abdominal cavity

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

This service was performed 21 times for 21 patients

Electronic assessment of bladder emptying

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

This service was performed 14 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 90 times for 45 patients

Limited ultrasound scan of pelvis

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

This service was performed 14 times for 14 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 20 times for 20 patients

Prostate resection

Prostate resection is a procedure performed to alleviate discomfort caused by an enlarged prostate. This involves removing a portion of the prostate gland to ease pressure on the urinary tract, improving urine flow and reducing symptoms. It's performed under general or spinal anesthesia.

This service was performed for 22 patients

Ultrasound scan of pelvic region through rectum

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

This service was performed 20 times for 19 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $17.72 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 00784 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.65
  • Minimum New Patient Price $56.86
  • Maximum New Patient Price $172.44
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.88
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.44
  • Average Established Patient Copayment $17.72
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 60
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 100% 68
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alberto Corica Guinle is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOSPITAL MENONITA CAGUAS INCCARR 172 EXIT 21 URB TURABO GARDENS
CAGUAS, PR 00725
(787) 744-3141Acute Care Hospitals
HOSPITAL PAVIA CAGUASURB MARIOLGA 100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 620-9770Acute Care Hospitals

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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.
1336280429
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236648044
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 8 + 0 + 4 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1336280429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922136068CENTRO DE GASTROENTEROLOGIA
Organization
Internal Medicine (Gastroenterology)HOSPITAL EPISCOPAL CRISTO REDENTOR OFICINA DE GASTROENTEROLOGIA
GUAYAMA, PR 00784
(787) 283-0804
1285777326APCG UROLOGY C S P
Organization
Exclusive Provider OrganizationHOSPITAL EPISCOPAL CRISTO REDENTOR AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA
GUAYAMA, PR 00784
(787) 864-4300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336280429, enumerated in the NPI registry as an "individual" on February 09, 2007

The provider is located at Hospital Episcopal Cristo Redentor 1st Level, Ave. Pedro Albizu Campos, Urb.hacienda Guayama, Pr 00784 and the phone number is (787) 866-3355

The provider's speciality is Urology with taxonomy code 208800000X

The provider has more than 60 years of experience.

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

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $130.65 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $70.88 and an average copayment of 17.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Complete ultrasound scan behind abdominal cavity, Electronic assessment of bladder emptying, Established patient office or other outpatient visit, 20-29 minutes, Limited ultrasound scan of pelvis, New patient office or other outpatient visit, 30-44 minutes, Prostate resection and Ultrasound scan of pelvic region through rectum.

The practitioner is affiliated to the following hospital(s): HOSPITAL MENONITA CAGUAS INC and HOSPITAL PAVIA CAGUAS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 09, 2007. 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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