NPIMap

Organization Active NPI

Hospital Menonita Caguas Inc

  • General Acute Care Hospital
  • Caguas, PR
National Provider Identifier
1003185455
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOSPITAL MENONITA CAGUAS INC
Practice address
St 172 Exit 21 Turabo Gardens
Carretera Caguas a Cidra
Caguas, PR 00725
Phone
(787) 535-1001
Fax
(787) 535-1021
NPI assigned
Dec 14, 2011
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Lissette Vasquez Rivera
Title
Billing Manager
Phone
(787) 434-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

St 172 Exit 21 Turabo Gardens
Carretera Caguas a Cidra
Caguas, PR 00725

Mailing address

PO Box 1650
Cidra, PR 00739-1650
Phone (787) 434-1700

Other names 1

  • HOSPITAL MENONITA CAGUAS INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000675 PR Part A Provider - Hospital 8921254780 Practice locations: Caguas, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003185455. Details of each certification follow.

Hospital certification: CCN 400104

Legal name
HOSPITAL MENONITA CAGUAS INC
Doing business as
HOSPITAL MENONITA DE CAGUAS INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 7, 1971
Last certification
Jul 24, 2025
Beds
373
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 29, 2011 in PR
Enrollment address
Carretera 172 Salida 21 Caguas a Cidra
Urb Turabo Gardens
Caguas, PR 7254964
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Menonita Caguas IncCCN 400104 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Centro de Radiologia Intervencional de Puerto Rico CP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1760 Calle Loiza
Ste 205
Santurce, PR 00911
Phone (305) 297-4377

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lymari Colon Colon Individual Corporate DirectorCfo Nov 1, 2019 20%
W-2 Managing EmployeeCfo Nov 1, 2019 20%
Lissette Vasquez Rivera Individual Corporate DirectorDirector of Billing and Collection Apr 1, 2020 10%
W-2 Managing EmployeeDirector of Billing and Collection Jan 18, 1996 10%
Jose Solivan Rivera Individual Corporate DirectorAssociate Ceo Nov 5, 2007 100%
W-2 Managing EmployeeAssociate Ceo Nov 5, 2007 100%
Jose Pastrana Arzola Individual Contracted Managing EmployeeAdministrator Oct 1, 2019 100%
Corporate DirectorAdministrator Oct 1, 2018 100%
W-2 Managing EmployeeAdministrator Oct 1, 2018 100%
Ricardo Hernandez Rivera Individual Corporate DirectorCeo Nov 1, 2019 30%
W-2 Managing EmployeeCeo Nov 1, 2019 30%
Hospital Menonita Caguas Inc Organization, Caguas, PR Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Dec 3, 2011 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Menonita Caguas IncCaguas, PR, CCN 40T104 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 3, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

Affiliated clinicians 113

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1003185455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST 172 EXIT 21 TURABO GARDENS",
            "address_2": "CARRETERA CAGUAS A CIDRA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MENONITA CAGUAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL MENONITA CAGUAS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HOSPITAL MENONITA CAGUAS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.