NPIMap

Organization Active NPI

Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
National Provider Identifier
1104862044
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
32CNC04196 Issued in PR
Legal business name
HOSPITAL DR. SUSONI. INC.
Practice address
55 Calle Palma
Arecibo, PR 00612-4526
Phone
(787) 650-1030
Fax
(787) 650-1040
NPI assigned
Jun 21, 2006
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Mr. Angel Alvarez, MHSA
Title
Executive Director
Phone
(787) 650-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 32CNC04196 PR Primary

Addresses

Primary practice location

55 Calle Palma
Arecibo, PR 00612-4526

Mailing address

PO Box 145200
Arecibo, PR 00614-5200
Phone (787) 650-1030

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040909000551 PR Part A Provider - Hospital 5597731653 Practice locations: Arecibo, PR
O20050720000129 PR Part B Supplier - Clinic/Group Practice 5597731653 Receives reassigned benefits from 3 practitioners
Practice locations: Arecibo, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104862044. Details of each certification follow.

Hospital certification: CCN 400117

Legal name
HOSPITAL DR. SUSONI. INC.
Doing business as
HOSPITAL METROPOLITANO DR SUSONI
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 6, 1986
Last certification
Aug 14, 2025
Beds
138
Ownership / control type
Private (not for profit)
Organization structure
CorporationProprietary
Incorporated
Aug 21, 1945 in PR
Enrollment address
Street Palma #55
Arecibo, PR 6124526
Other Hospital Practice Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Metropolitano Dr SusoniCCN 400117 · 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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

55 Calle Palma
#2
Arecibo, PR 00612

55 Calle Palma
#55
Arecibo, PR 00612

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Lenisse Portalatin Perez Individual Corporate DirectorFinance Director Apr 21, 2025 100%
W-2 Managing EmployeeFinance Director Apr 21, 2025 100%
Yarimir Rodriguez Diaz Individual Corporate DirectorExecutive Director Jul 21, 2025 100%
W-2 Managing EmployeeExecutive Director Jul 21, 2025 100%
Carmen Feliciano Vargas Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 38.25%
Operational/Managerial Control May 21, 2015 38.25%
Artau Holdings LLC Organization, Guaynabo, PR LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest May 21, 2015 100%
Operational/Managerial Control May 21, 2015 100%
Eduardo J Artau Gomez Individual 5% Or Greater Indirect Ownership InterestPresident of Board Director May 21, 2015 38.25%
Operational/Managerial ControlPresident of Board Director May 21, 2015 38.25%
Karen Z Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Operational/Managerial Control May 21, 2015 7.83%
Eduardo Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Operational/Managerial Control May 21, 2015 7.83%
Francisco Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Operational/Managerial Control May 21, 2015 7.83%
Yamila Villanueva Feliciano Individual W-2 Managing EmployeeBilling and Collection Manager Feb 26, 2024 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Pavia AreciboArecibo, PR, CCN 400087 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 21, 2015
May 21, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1104862044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145200",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006145200",
            "telephone_number": "787-650-1030",
            "fax_number": "787-650-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE PALMA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124526",
            "telephone_number": "787-650-1030",
            "fax_number": "787-650-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DR. SUSONI. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-650-1031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "32CNC04196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.