NPIMap

Organization Active NPI

Doctors Center Hospital San Juan

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Juan, PR
National Provider Identifier
1205539558
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
DOCTORS CENTER HOSPITAL SAN JUAN
Practice address
1395 Calle San Rafael
San Juan, PR 00909-2518
Phone
(787) 999-7620
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DOCTORS CENTER HOSPITAL SAN JUANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Carlos BlancoNPI 1396716635
Title
Chairman of the Board
Phone
(787) 854-3322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X NU Primary

Addresses

Primary practice location

1395 Calle San Rafael
San Juan, PR 00909-2518

Mailing address

PO Box 30532
Manati, PR 00674-8513
Phone (787) 854-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091203000760 PR Part A Provider - Hospital 3678639036 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205539558. Details of each certification follow.

Hospital certification: CCN 400006

Legal name
DOCTORS CENTER HOSPITAL SAN JUAN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 2025
Beds
160
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2023 (2 total)
Organization structure
CorporationProprietary
Incorporated
Nov 9, 2006 in PR
Enrollment address
1395 Calle San Rafael
San Juan, PR 9092518
Main/Primary Hospital Location
Hospital subgroups
Acute care

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
Doctors' Center Hospital San JuanCCN 400006 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Doctors Center Hospital San Juan2 organizations share this tax ID, including this one
Part of
Doctors Center Hospital San Juan

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Carlos a Blanco Ramos Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2023 75%
General Partnership InterestBoard Member Jun 1, 2023 75%
Operational/Managerial ControlBoard Member Jun 1, 2023 75%
DCH Holding LLC Organization, Manati, PR Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2023 100%

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1205539558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30532",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006748513",
            "telephone_number": "787-854-3322",
            "fax_number": "787-621-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092518",
            "telephone_number": "787-999-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CENTER HOSPITAL SAN JUAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS CENTER HOSPITAL SAN JUAN",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "787-854-3322"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.