CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA – NPI #1235432584
Exclusive Provider Organization

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Health Care Provider Taxonomy Code for Exclusive Provider Organization

CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA is an exclusive provider organization located in HUMACAO, PR. NPPES has assigned the NPI number 1235432584 to CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA on December 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA” is a dba name, the actual legal business name for this organization is CORPORACION PROFESIONAL SALUD. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 302F00000X from the Health Care Provider Taxonomy code set, which is classified as Exclusive Provider Organization.

The NPI profile was previously updated about 6 years ago on Dec 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA below.

NPI Profile for
CORPORACION PROFESIONAL SALUD

NPI Number
1235432584
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORPORACION PROFESIONAL SALUD
Doing Business As (dba): CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA
Other name(s)
All associated names:
Doing Business As (dba)
CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA
Former Legal Business Name
CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA
Primary location
AVE RAFAEL ARROYO RIOS #7
HUMACAO, PR 00792
Phone: (787) 850-1695 Fax: (787) 850-1695
Mailing address
PO BOX 9190
HUMACAO, PR 00792-9190
Phone: (787) 850-1695 Fax: (787) 850-1695
Organization Subpart
No
Authorized Official
RAFAEL VICENS
PRESIDENT
Phone: (787) 850-1695
Updated
Certification Date
Dec 10, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
302F00000X
- Exclusive Provider Organization (Primary)		 PR 4675

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.