Organization Active NPI

Hospital Espanol Auxilio Mutuo Depuerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
National Provider Identifier
1285648006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DEPUERTO RICO, INC.
Practice address
735 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917-5022
Phone
(787) 758-2000
Fax
(787) 771-7927
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jorge L. Matta, MHSA
Title
Administrator
Phone
(787) 758-2000

Specialties & licenses 1

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

Addresses

Primary practice location

735 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917-5022

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 758-2000

Other identifiers 4

IdentifierTypeStateIssuer
66048690CIMOtherPRCOSVI-IMAGENES MUJER
84886OtherPRSSS-IMAGENES MUJER
9360154OtherPRHUMANA-IMAGENES MUJER
511355OtherPRPREFERRED-IMAGENES MUJER

Other names 1

  • Centro Imagenes de la Mujer Other name

National Provider Directory

National Provider Directory
Tax ID family
GRP Anestesia Hosp Aux M29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285648006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "STOP 37.5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ESPANOL AUXILIO MUTUO DEPUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-758-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI-IMAGENES MUJER",
            "identifier": "66048690CIM",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS-IMAGENES MUJER",
            "identifier": "84886",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA-IMAGENES MUJER",
            "identifier": "9360154",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED-IMAGENES MUJER",
            "identifier": "511355",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Imagenes de la Mujer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.