NPIMap

Organization Active NPI

Utuado Health Hospital Corp

  • Emergency Care Clinic/Center
  • Utuado, PR
National Provider Identifier
1174338792
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
UTUADO HEALTH HOSPITAL CORP
Practice address
500 Calle Dr Isaac Gonzalez
Utuado, PR 00641-2635
Phone
(787) 896-8383
NPI assigned
Feb 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Jimmy Olivera, MBA, CHP, CHA, CMA
Title
Administrador
Phone
(787) 484-8273

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Emergency Care Clinic/Center 261QE0002X Primary
Radiology Clinic/Center 261QR0200X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

500 Calle Dr Isaac Gonzalez
Utuado, PR 00641-2635

Mailing address

59 Calle B
Camuy, PR 00627-2343
Phone (787) 484-8273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250728000906 PR Part B Supplier - Clinic/Group Practice 2062929862 Receives reassigned benefits from 2 practitioners
Practice locations: Utuado, PR

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Utuado Health Hospital3 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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1174338792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALLE B",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272343",
            "telephone_number": "787-484-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CALLE DR ISAAC GONZALEZ",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412635",
            "telephone_number": "787-896-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTUADO HEALTH HOSPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-484-8273",
        "authorized_official_credential": "MBA, CHP, CHA, CMA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.