NPIMap

Organization Active NPI

Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
National Provider Identifier
1013140383
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MAYAGUEZ MEDICAL CENTER DR RAMON EMETERIO BETANCES INC
Practice address
Ave Hostos
#410
Mayaguez, PR 00682-6353
Phone
(787) 652-9200
Fax
(787) 652-9259
NPI assigned
Sep 2, 2009
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Mrs. Noriselle Rivera
Title
Finance VP
Phone
(787) 652-9200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
General Acute Care Hospital 282N00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

Ave Hostos
#410
Mayaguez, PR 00682-6353

Mailing address

Ave, Hostos #410
Mayaguez, PR 00681-1838
Phone (787) 652-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20071101000416 PR Part B Supplier - Clinic/Group Practice 8123115532 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aguada, PR; Mayaguez, PR; Aguadilla, PR
O20091209000514 PR Part A Provider - Hospital 8527107341 Practice locations: Mayaguez, PR
O20101208000497 PR Part B Supplier - Clinic/Group Practice 8527107341 Receives reassigned benefits from 19 practitioners
Practice locations: Mayaguez, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013140383. Details of each certification follow.

Hospital certification: CCN 400103

Legal name
MAYAGUEZ MEDICAL CENTER DR RAMON EMETERIO BETANCES INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 8, 1971
Last certification
Sep 13, 2024
Beds
391 (339 certified)
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2008 in PR
Enrollment address
Ave Hostos #410
Mayaguez, PR 6801560
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mayaguez Medical Center Dr Ramon Emeterio BetancesCCN 400103 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Medicina Fisica Y Electrodiagnostico Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2 Calle Progreso
Ste 304
Aguadilla, PR 00603

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jenny Negron Individual W-2 Managing EmployeeFinanace Director Oct 10, 2014
Quiros Investment Holdings, LLC Organization, Guaynabo, PR LLC 5% Or Greater Direct Ownership Interest Jan 29, 2010 82%
Carlos Disdier Individual 5% Or Greater Indirect Ownership Interest Jan 29, 2010 18%
Corporate OfficerVice-President and Board Member Jan 29, 2010 33.3%
Corporate DirectorVice-President and Board Member Jan 29, 2010 33.3%
Maycar PR Investments, LLC Organization, Ciales, PR LLC 5% Or Greater Direct Ownership Interest Jan 29, 2010 18%
Firstbank Puerto Rico Organization, San Juan, PR Financial institution 5% Or Greater Mortgage Interest Apr 26, 2017 49.4%
5% Or Greater Security Interest Apr 26, 2017 49.4%
Jose Quiros Individual 5% Or Greater Indirect Ownership Interest Jan 29, 2010 82%
Corporate OfficerPresident, Secretary and Board M Jan 29, 2010 33.3%
Corporate DirectorPresident, Secretary and Board M Jan 29, 2010 33.3%
Jaime Maestre-Grau Individual Corporate OfficerOperations Vice President and Ex Mar 3, 2010
W-2 Managing EmployeeOperations Vice President and Ex Mar 3, 2010
Noriselle Rivera Individual Corporate OfficerVice President of Finance Mar 3, 2010
W-2 Managing EmployeeVice President of Finance Mar 3, 2010
Operational/Managerial ControlVice President of Finance Mar 3, 2010

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 67

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 67

Affiliated clinicians 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1013140383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE, HOSTOS #410",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811838",
            "telephone_number": "787-652-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "#410",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-652-9200",
            "fax_number": "787-652-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ MEDICAL CENTER DR RAMON EMETERIO BETANCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "NORISELLE",
        "authorized_official_title_or_position": "FINANCE VP",
        "authorized_official_telephone_number": "787-652-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.