NPIMap

Organization Active NPI

Yauco Healthcare Corporation

Doing business as Hospital Pavia Yauco

  • Anesthesiology Physician
  • Yauco, PR
National Provider Identifier
1356735773
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
YAUCO HEALTHCARE CORPORATION
Doing business as
Hospital Pavia Yauco
Practice address
Carr 128 KM 1.0
Yauco, PR 00698
Phone
(787) 856-1000
Fax
(787) 267-6674
NPI assigned
Mar 24, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Miss Dinorah Hernandez
Title
Administrador
Phone
(787) 856-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

Carr 128 KM 1.0
Yauco, PR 00698

Mailing address

PO Box 5643
Yauco, PR 00698-5643
Phone (787) 856-1000

Other names 1

  • Hospital Pavia Yauco Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929002731 PR Part B Supplier - Clinic/Group Practice 5496746737 Receives reassigned benefits from 4 practitioners
Practice locations: Yauco, PR

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Hosp Metro Dr Tito Mattei4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1356735773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5643",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985643",
            "telephone_number": "787-856-1000",
            "fax_number": "787-267-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 128 KM 1.0",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000",
            "fax_number": "787-267-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAUCO HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DINORAH",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-856-1000",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Pavia Yauco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.