NPIMap

Organization Active NPI

BS Radiology and Women's Center

  • Mammography Clinic/Center
  • Aguadilla, PR
National Provider Identifier
1245816032
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
BS RADIOLOGY AND WOMEN'S CENTER
Practice address
Carr 2 KM 123.8 Bo Caimital Alto
Aguadilla, PR 00603
Phone
(787) 658-0000
NPI assigned
Mar 22, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL COMUNITARIO BUEN SAMARITANO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Mr. Luis A Acosta
Title
Fiscal Service Manager
Phone
(787) 658-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X NU Primary

Addresses

Primary practice location

Carr 2 KM 123.8 Bo Caimital Alto
Aguadilla, PR 00603

Mailing address

PO Box 4055
Aguadilla, PR 00605-4055
Phone (787) 658-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060925000198 PR Part A Provider - Hospital 3678578796 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aguadilla, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245816032. Details of each certification follow.

Hospital certification: CCN 400079

Legal name
HOSPITAL COMUNITARIO BUEN SAMARITANO INC
Doing business as
HOSPITAL BUEN SAMARITANO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 25, 2023
Beds
230
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 25, 1999 in PR
Enrollment address
Carr. Est. PR-460, KM. 0.2
Bo Caimital Bajo
Aguadilla, PR 6039643
Main/Primary Hospital Location
Hospital subgroups
General

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
Hospital Comunitario Buen Samaritano IncCCN 400079 · 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
Hospital8 organizations share this tax ID, including this one
Part of
Hospital

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jose G Gratacos Negron Individual Corporate OfficerFinance Director Mar 18, 2024
W-2 Managing EmployeeFinance Director Mar 18, 2024
Hospital Comunitario Buen Samaritano Inc Organization, Aguadilla, PR Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1999 100%
5% Or Greater Indirect Ownership Interest Jul 1, 1999 100%
Rodolfo Felipe Mangual Ramos Individual Corporate DirectorPresident of the Board of Directors Jun 21, 2023
Victor Nieves Individual 5% Or Greater Mortgage Interest Jun 23, 2013
Corporate OfficerBoard Member Jun 23, 2013
Jesus Nieves Rosario Individual Corporate OfficerExecutive Director Jul 15, 2024
W-2 Managing EmployeeAd; Jul 15, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1245816032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4055",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "787-658-0000",
            "fax_number": "787-819-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 123.8 BO CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BS RADIOLOGY AND WOMEN'S CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL COMUNITARIO BUEN SAMARITANO INC",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FISCAL SERVICE MANAGER",
        "authorized_official_telephone_number": "787-658-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.