NPIMap

Organization Active NPI

Hospital San Carlos Incorporado

Doing business as Hospital San Carlos Borromeo

  • Rural Acute Care Hospital
  • Moca, PR
National Provider Identifier
1104856889
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
20 Issued in PR
Legal business name
HOSPITAL SAN CARLOS INCORPORADO
Doing business as
Hospital San Carlos Borromeo
Practice address
Carr. 110 Barrio Pueblo
Calle Concepcion Vera Num. 550 S.
Moca, PR 00676-0068
Phone
(787) 877-8000
Fax
(787) 877-5610
NPI assigned
Jul 5, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mrs. Sarah I Villanueva, MHSA
Title
Executive Director
Phone
(787) 877-8000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 20 PR Primary
Cardiovascular Disease Physician 207RC0000X
Pulmonary Disease Physician 207RP1001X
Surgery Physician 208600000X

Addresses

Primary practice location

Carr. 110 Barrio Pueblo
Calle Concepcion Vera Num. 550 S.
Moca, PR 00676-0068

Mailing address

PO Box 68
Moca, PR 00676-0068
Phone (787) 877-8000

Other names 1

  • HOSPITAL SAN CARLOS BORROMEO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040806000449 PR Part A Provider - Hospital 3072599117 Practice locations: Moca, PR
O20041220000025 PR Part B Supplier - Clinic/Group Practice 3072599117 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
Practice locations: Moca, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104856889. Details of each certification follow.

Hospital certification: CCN 400111

Legal name
HOSPITAL SAN CARLOS INCORPORADO
Doing business as
HOSPITAL SAN CARLOS BORROMEO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 1, 1982
Last certification
Aug 14, 2025
Beds
108
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1965 in PR
Enrollment address
Calle Concepcion Vera Ayala # 550 S
Hospital San Carlos Borromeo
Moca, PR 6760001
Other Hospital Practice Location
Hospital subgroups
General

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
Hospital San Carlos BorromeoCCN 400111 · 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
Servicios Hospitalistas San Carlos Borromeo3 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.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Sarah Villanueva Individual Corporate OfficerExecutive Director Nov 1, 2021 100%
W-2 Managing EmployeeExecutive Director Nov 1, 2021 100%
Hospital San Carlos Incorporado Organization, Moca, PR Non-profit 5% Or Greater Direct Ownership Interest Aug 31, 1981 100%
Jovita Jimenez Individual Corporate DirectorBoard Member Dec 28, 2010
Eduardo Ramirez Individual Corporate DirectorBoard Member Jan 27, 2015
Roberto Vargas Individual Corporate DirectorBoard Member Aug 1, 2009
Paul Hargen Individual Corporate DirectorPresident Board of Directors Aug 1, 2023
Giancarlo E Luigi Sanchez Individual Corporate Director Aug 1, 2022
David Aponte Individual Corporate DirectorBoard Member Dec 1, 2022
Luis Soto Individual Corporate DirectorBoard Member Jul 3, 2023
Irma Cabrera Individual Corporate OfficerFinance Director Apr 5, 2004

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 49

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 49

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1104856889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760068",
            "telephone_number": "787-877-8000",
            "fax_number": "787-877-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 110 BARRIO PUEBLO",
            "address_2": "CALLE CONCEPCION VERA NUM. 550 S.",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760068",
            "telephone_number": "787-877-8000",
            "fax_number": "787-877-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SAN CARLOS INCORPORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-877-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PR",
            "license": "20",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL SAN CARLOS BORROMEO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.