NPIMap

Organization Active NPI

San Lucas Metro, Inc

Doing business as Centro de Cuidado Prolongado San Lucas

  • Skilled Nursing Facility
  • San Juan, PR
National Provider Identifier
1093434136
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAN LUCAS METRO, INC
Doing business as
Centro de Cuidado Prolongado San Lucas
Practice address
Carr 844, KM .5
Cupey
San Juan, PR 00928-4153
Phone
(787) 761-8383
NPI assigned
Aug 23, 2022
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Mrs. Rosemary De la Cruz Severino
Title
Principal Finance Officer
Phone
(787) 864-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

Carr 844, KM .5
Cupey
San Juan, PR 00928-4153

Mailing address

RR 9 Box 6000
San Juan, PR 00926-9816
Phone (787) 761-8383

Other names 1

  • Centro de Cuidado Prolongado San Lucas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106002100 PR Part A Provider - Skilled Nursing Facility 7315396736 Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093434136. Details of each certification follow.

Skilled nursing facility certification: CCN 405033

Legal name
SAN LUCAS METRO, INC.
Doing business as
CENTRO DE CUIDADO PROLONGADO SAN LUCAS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 22, 2024
Last certification
Oct 2, 2024
Beds
100 (25 certified)
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Feb 26, 2021 in PR
Enrollment address
Carr. 844, KM 0.5
Cupey
San Juan, PR 00928-4153
Nursing home name
CENTRO DE CUIDADO PROLONGADO SAN LUCAS

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Centro de Cuidado Prolongado San LucasCCN 405033 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Type
Medicare
Ownership
Non profit - Church related
Certified
Oct 22, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
254.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
San Lucas Metro Inc2 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

6000 RR 9
San Juan, PR 00926

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Servicios de Salud Episcopales, Inc. Organization, Ponce, PR Corporation, Management services company, Consulting firm 5% Or Greater Indirect Ownership Interest Feb 26, 2021 100%
Operational/Managerial Control Feb 26, 2021
Adp of the SNF Feb 26, 2021
Rafael L Morales Maldonado Individual Corporate DirectorPresident Board Director Jul 15, 2022
Operational/Managerial Control Jul 15, 2022
Juan a Salazar Trogolo Individual Corporate OfficerPrincipal Oficial Ejecutivo Jan 1, 2018
Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018
Antonio Cruz Ortiz Individual Corporate DirectorBoard Member Jul 15, 2022
Adp of the SNF Nov 1, 2023
Ramon Cantero Frau Individual Corporate DirectorBoard Member Jul 15, 2022
Operational/Managerial Control Jul 15, 2022
Mario H Rodriguez Individual Corporate DirectorBoard Vice President Jul 15, 2022
Emilia Morales Vega Individual Corporate DirectorBoard Member Jul 15, 2022
Melisa Milagros Rodriguez Martes Individual Corporate DirectorBoard Member Jul 15, 2022
Jose Gonzalez Individual Corporate DirectorInterim Operational Direct Jun 24, 2024
Operational/Managerial Control Jun 24, 2024
Adp of the SNF Jun 24, 2024
Jose Rene Figueroa Individual Corporate DirectorMedical Director Nov 1, 2023
Adp of the SNF Nov 1, 2023
Yelitza Lucena Quiles Individual Corporate DirectorAdministrator Nov 9, 2022
Angel Rivera Rodriguez Individual Corporate DirectorBoard Secretary Jul 15, 2022
Iglesia Episcopal Puertorriquena, Inc Organization, Trujillo Alto, PR Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Feb 26, 2021 100%
Rosemary de la Cruz Severino Individual Corporate OfficerPrincipal Oficial Financiero Jan 1, 2018
Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1093434136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 9 BOX 6000",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269816",
            "telephone_number": "787-761-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 844, KM .5",
            "address_2": "CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009284153",
            "telephone_number": "787-761-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUCAS METRO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ SEVERINO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRINCIPAL FINANCE OFFICER",
        "authorized_official_telephone_number": "787-864-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Cuidado Prolongado San Lucas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centro de Cuidado Prolongado San Lucas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.