Organization Active NPI

Apcg Urology C S P

  • Exclusive Provider Organization
  • Guayama, PR
National Provider Identifier
1285777326
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
14585 Issued in PR
Legal business name
APCG UROLOGY C S P
Practice address
Hospital Episcopal Cristo Redentor
Ave. Pedro Albizu Campos Urb. la Hacienda
Guayama, PR 00784
Phone
(787) 864-4300
Fax
(787) 864-6488
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alberto Corica Guinle, M.D.NPI 1336280429
Title
Administrator
Phone
(787) 866-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 14585 PR Primary

Addresses

Primary practice location

Hospital Episcopal Cristo Redentor
Ave. Pedro Albizu Campos Urb. la Hacienda
Guayama, PR 00784

Mailing address

P.O.Box 2908
Guayama, PR 00784
Phone (787) 864-4300

Other identifiers 5

IdentifierTypeStateIssuer
2721OtherPRPREFERRED CHOICE
9824OtherPRINTERNATIONAL MEDICAL CAR
7850017OtherPRHUMANA INSURANCE
207045OtherPRUTI PROVDIERNUMBER
21089OtherPRSSS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403004017 PR Part B Supplier - Clinic/Group Practice 8921174277 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR; Caguas, PR

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2335 Blvd Luis a Ferre
Ponce, PR 00717

2335 Blvd Luis a Ferre
Ponce, PR 00717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1285777326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 2908",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-4300",
            "fax_number": "787-864-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL EPISCOPAL CRISTO REDENTOR",
            "address_2": "AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-4300",
            "fax_number": "787-864-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APCG UROLOGY C S P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "CORICA GUINLE",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-866-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "14585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE",
            "identifier": "2721",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "9824",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "7850017",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI PROVDIERNUMBER",
            "identifier": "207045",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER NUMBER",
            "identifier": "21089",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.