ON SITE PREVENTIVE MEDICINE CSP
NPI 1912591041
Clinic/Center in San Juan, PR

NPI Status: Active since March 01, 2021

Contact Information

400 AVE FD ROOSEVELT STE 409
SAN JUAN, PR
ZIP 00918
Phone: (787) 903-6100
Fax: (787) 273-0935

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  • Organization
  • Clinic/Center

About ON SITE PREVENTIVE MEDICINE CSP

This page provides the complete NPI Profile along with additional information for On Site Preventive Medicine Csp, a provider established in San Juan, Puerto Rico operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1912591041 assigned on March 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Maximo C Blondet Md (Owner)

NPI
1912591041
Provider Name
ON SITE PREVENTIVE MEDICINE CSP
Entity Type
Organization
Location Address
400 AVE FD ROOSEVELT STE 409 SAN JUAN, PR 00918
Location Phone
(787) 903-6100
Location Fax
(787) 273-0935
Mailing Address
400 AVE FD ROOSEVELT STE 409 SAN JUAN, PR 00918
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2021
Last Update Date
03-23-2021
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
2261QP0905XAmbulatory Health Care Facilities

Clinic/Center
Public Health, State or Local

 
3261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
4261QP2400XAmbulatory Health Care Facilities

Clinic/Center
Prison Health

 
5261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 
6261QS1200XAmbulatory Health Care Facilities

Clinic/Center
Sleep Disorder Diagnostic

 
7332900000XSuppliers

Non-Pharmacy Dispensing Site

 
8333300000XSuppliers

Emergency Response System Companies

 

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

DR. MAXIMO C BLONDET MD

Authorized Official Title
OWNER
Authorized Official Phone
(787) 409-5869

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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.
1912591041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922109208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 0 + 9 + 2 + 0 + 8 + 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 1912591041 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912238726MEDICAL SLEEP DISORDERS OF PR PSC
Organization
Clinic/Center (Sleep Disorder Diagnostic)400 AVE FD ROOSEVELT STE 409 CLINICA LAS AMERICAS
SAN JUAN, PR 00918
(787) 903-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912591041, enumerated in the NPI registry as an "organization" on March 01, 2021

The provider is located at 400 Ave Fd Roosevelt Ste 409 San Juan, Pr 00918 and the phone number is (787) 903-6100

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on March 01, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.