Hospital Episcopal San Lucas

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

54 Issued in PR

Legal business name

HOSPITAL EPISCOPAL SAN LUCAS

Practice address

184 Calle Guadalupe
Ponce, PR 00730-3561

Phone

(787) 840-4545

Fax

(787) 841-0008

NPI assigned

Jun 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jose Joaquin Cora, MHSA

Title

Chief Operating Officer

Phone

(787) 840-4545

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Hospital San Lucas I Doing business as

Practitioners 1

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

• Raymond A Sepulveda, MD

  • Emergency Medicine Physician
  • San Juan, PR
  • NPI 1396729935
  NPD (past)

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295732899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332027",
            "address_2": "CALLE GUADALUPE FINAL #184",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007332027",
            "telephone_number": "787-840-4545",
            "fax_number": "787-841-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CALLE GUADALUPE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303561",
            "telephone_number": "787-840-4545",
            "fax_number": "787-841-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL EPISCOPAL SAN LUCAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "JOAQUIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "787-840-4545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C",
            "identifier": "10020",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "17020",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C PATHOLOGY",
            "identifier": "92399",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "30048",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "2795",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C AMBULATORY",
            "identifier": "30036",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "18020",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C",
            "identifier": "19020",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "300077",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C CATH",
            "identifier": "30794",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital San Lucas I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hospital Damas
• Hospital Damas Inc
• Hospital Damas Inc
• Hospital Damas, Inc.
• Hospital Episcopal San Lucaa
• Hospital Episcopal San Lucas
• Hospital Episcopal San Lucas
• Hospital Episcopal San Lucas Ponce
• Hospital Episcopal San Lucas Ponce
• Hospital Episcopal San Lucas-Ponce

• All providers in Ponce, PR
• General Acute Care Hospital in Puerto Rico

• 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.