NPIMap

Organization Active NPI

Hospital Menonita Ponce Inc

  • General Acute Care Hospital
  • Ponce, PR
National Provider Identifier
1235856253
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOSPITAL MENONITA PONCE INC
Practice address
Carr PR 506 KM 1.0
Bo Coto Laurel
Ponce, PR 00780-0000
Phone
(787) 434-1700
Fax
(787) 434-1711
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Lissette Vazquez Rivera
Title
Director of Collector
Phone
(787) 434-1700

Specialties & licenses 1

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

Addresses

Primary practice location

Carr PR 506 KM 1.0
Bo Coto Laurel
Ponce, PR 00780-0000

Mailing address

PO Box 1650
Cidra, PR 00739-1650
Phone (787) 434-1700

Other identifiers 1

IdentifierTypeStateIssuer
038390600MedicaidPR

Other names 1

  • HOSPITAL MENONITA PONCE INC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lvazquez@mghpr.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230202000311 PR Part A Provider - Hospital 1759753668 Practice locations: Juan Diaz, PR; Ponce, PR; Santa Isabel, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235856253. Details of each certification follow.

Hospital certification: CCN 400113

Legal name
HOSPITAL MENONITA PONCE, INC
Doing business as
HOSPITAL MENONITA PONCE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 16, 1984
Last certification
Sep 5, 2025
Beds
138
Ownership / control type
Private (not for profit)
Most recent change of ownership
Dec 1, 2022 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 2022 in PR
Enrollment address
Carr PR 506 KM 1.0
Bo. Coto Laurel
Ponce, PR 7802250
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Menonita PonceCCN 400113 · 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
Hospital Menonita Ponce Inc3 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 12

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

NameRoleSinceShare
Ruben Norat Roig Individual Corporate OfficerCoo Dec 1, 2022
W-2 Managing EmployeeCoo Dec 1, 2022
Lymari Colon Colon Individual Corporate OfficerCfo Dec 1, 2022
W-2 Managing EmployeeCfo Dec 1, 2022
Lissette Vasquez Rivera Individual Corporate DirectorBilling & Collection Director Dec 1, 2022
W-2 Managing EmployeeBilling & Collection Director Dec 1, 2022
Jose Solivan Rivera Individual Corporate OfficerAssociate Ceo Dec 1, 2022
W-2 Managing EmployeeAssociate Ceo Dec 1, 2022
Ricardo Hernandez Rivera Individual Corporate OfficerCeo Dec 1, 2022
W-2 Managing EmployeeCeo Dec 1, 2022
Angel Aviles Rivera Individual Corporate DirectorCoo Dec 1, 2022
W-2 Managing EmployeeCoo Dec 1, 2022
Mennonite General Hospital Inc Organization, Cidra, PR Corporation, Management services company, Non-profit Operational/Managerial Control Sep 29, 2022
Miguel a Serpa Perez Individual Corporate DirectorMedical Director Dec 1, 2022
Larry Bonilla Sauder Individual Corporate DirectorVice Presidente Junta Directores Dec 1, 2022
W-2 Managing EmployeeVice Presidente Junta Directores Dec 1, 2022
Emerita Rivera Rios Individual Corporate DirectorSecretaria Junta Directores Dec 1, 2022
W-2 Managing EmployeeSecretaria Junta Directores Dec 1, 2022
Juliane Leon Leon Individual Corporate DirectorAdministrator Dec 1, 2022
W-2 Managing EmployeeAdministrator Dec 1, 2022
Francisco D Rodriguez Maldonado Individual Corporate OfficerPresidente Junta Directores Dec 1, 2022
W-2 Managing EmployeePresidente Junta Directores Dec 1, 2022

Owners & managing parties with NPI records 6

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 20

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 20

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1235856253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 506 KM 1.0",
            "address_2": "BO COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MENONITA PONCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-15",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "DIRECTOR OF  COLLECTOR",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038390600",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lvazquez@mghpr.org",
            "address_1": "Carr PR 506 Km 1.0",
            "address_2": "Bo Coto Laurel",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007800000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HOSPITAL MENONITA PONCE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.