San Lucas Metro, Inc
Organization Active NPI Skilled Nursing Facility · San Juan, PR
NPI 1093434136 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1093434136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- SAN LUCAS METRO, INC
- Practice address
- Carr 844, KM .5
Cupey
San Juan, PR 00928-4153 - Phone
- (787) 761-8383
- NPI assigned
- Aug 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rosemary De la Cruz Severino
- Title
- Principal Finance Officer
- Phone
- (787) 864-4300
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Facilities with the same owner 9
Practitioners 3
-
Karmarie Nahir Figueroa Torres, PHARMD
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Centro de Cuidado Prolongado San Lucas
- 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
- Active
- Certified beds
- 25 · 4.3 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
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
- Corporation · Non-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
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Servicios de Salud Episcopales, Inc. |
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 |
Corporate Director |
Jul 15, 2022 | |
| Operational/Managerial Control | Jul 15, 2022 | ||
| Juan a Salazar Trogolo |
Corporate Officer |
Jan 1, 2018 | |
| Operational/Managerial Control | Jan 1, 2018 | ||
| Adp of the SNF | Jan 1, 2018 | ||
| Antonio Cruz Ortiz |
Corporate Director |
Jul 15, 2022 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Ramon Cantero Frau |
Corporate Director |
Jul 15, 2022 | |
| Operational/Managerial Control | Jul 15, 2022 | ||
| Mario H Rodriguez |
Corporate Director |
Jul 15, 2022 | |
| Emilia Morales Vega |
Corporate Director |
Jul 15, 2022 | |
| Melisa Milagros Rodriguez Martes |
Corporate Director |
Jul 15, 2022 | |
| Jose Gonzalez |
Corporate Director |
Jun 24, 2024 | |
| Operational/Managerial Control | Jun 24, 2024 | ||
| Adp of the SNF | Jun 24, 2024 | ||
| Jose Rene Figueroa |
Corporate Director |
Nov 1, 2023 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Yelitza Lucena Quiles |
Corporate Director |
Nov 9, 2022 | |
| Angel Rivera Rodriguez |
Corporate Director |
Jul 15, 2022 | |
| Iglesia Episcopal Puertorriquena, Inc |
5% Or Greater Indirect Ownership Interest | Feb 26, 2021 | 100% |
| Rosemary de la Cruz Severino |
Corporate Officer |
Jan 1, 2018 | |
| Operational/Managerial Control | Jan 1, 2018 | ||
| Adp of the SNF | Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250106002100 | PR | Part a Provider - Skilled Nursing Facility | 7315396736 | Practice locations: San Juan, PR |
National Provider Directory
- Tax ID family
- San Lucas Metro Inc
Locations
6000 RR 9
San Juan, PR 00926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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
- Centro de Cuidado Prolongado San Lucas
Other providers in San Juan, PR
- San Juan Vamc
- San Juan Vamc
- San Juan Vamc
- San Juan Vascular Institute, LLC
- San Juan Wellness Clinic LLC
- San Lucas Metro, Inc.
- Andrea Carolina San Miguel Perez
- Liza E. San Miguel-Montes
- Angel San Miguel
- San Patricio Internal Medicine and Geriatrics Center, PSC
All providers in San Juan, PR · Skilled Nursing Facility in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.