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Hospital San Carlos Incorporado

Organization Active NPI Rural Acute Care Hospital · Moca, PR

NPI 1104856889 · NPPES record last updated Nov 15, 2024

Key facts

NPI
1104856889
Entity type
Organization (NPI type 2)
Primary specialty
Rural Acute Care Hospital 282NR1301X
License
20 (PR)
Legal business name
HOSPITAL SAN CARLOS INCORPORADO
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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs on the same Medicare enrollment 1

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

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.

Corporate family (same tax ID) 2

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

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

Affiliated clinicians 39

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

View all 39

Medicare Care Compare: Hospital

Listed as
Hospital San Carlos Borromeo CCN 400111
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PR

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
Corporation · Non-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

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 Officer
Executive Director		 Nov 1, 2021 100%
W-2 Managing Employee
Executive 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 Director
Board Member		 Dec 28, 2010
Eduardo Ramirez
Individual 		Corporate Director
Board Member		 Jan 27, 2015
Roberto Vargas
Individual 		Corporate Director
Board Member		 Aug 1, 2009
Paul Hargen
Individual 		Corporate Director
President Board of Directors		 Aug 1, 2023
Giancarlo E Luigi Sanchez
Individual 		Corporate Director Aug 1, 2022
David Aponte
Individual 		Corporate Director
Board Member		 Dec 1, 2022
Luis Soto
Individual 		Corporate Director
Board Member		 Jul 3, 2023
Irma Cabrera
Individual 		Corporate Officer
Finance Director		 Apr 5, 2004

Medicare enrollment records

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

National Provider Directory

Tax ID family
Hosp San Carlos Incorporado (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Rural Acute Care Hospital 282NR1301X 20 PR Yes

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

  • HOSPITAL SAN CARLOS BORROMEO Doing business as

Other providers in Moca, PR

All providers in Moca, PR · Rural Acute Care Hospital in Puerto Rico

Sources for this page

Verify at the official NPI Registry.