NPIMap

Organization Active NPI

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

Doing business as Grupo Nutricionistas Hospital Auxilio Mutuo

  • Nutritionist
  • San Juan, PR
National Provider Identifier
1356771158
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Doing business as
Grupo Nutricionistas Hospital Auxilio Mutuo
Practice address
735 Ave Ponce de Leon Ste 375
San Juan, PR 00917-5025
Phone
(787) 771-7934
Fax
(787) 771-7402
NPI assigned
Nov 15, 2013
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NUTRICIONISTAS HOSPITAL AUXILIO MUTUOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 375
San Juan, PR 00917-5025

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 771-7934

Other names 1

  • Grupo Nutricionistas Hospital Auxilio Mutuo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140929001203 PR Part B Supplier - Hospital Department(S) 4183602832 Receives reassigned benefits from 8 practitioners
Practice locations: San Juan, PR

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
GRP Med de Familia Ho Aux29 organizations share this tax ID, including this one
Part of
GRP Med de Familia Ho Aux

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.San Juan, PR, CCN 400016 Hospital Other Oct 1, 1991

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 11

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1356771158",
    "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": "787-771-7934",
            "fax_number": "787-771-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 375",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175025",
            "telephone_number": "787-771-7934",
            "fax_number": "787-771-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUTRICIONISTAS HOSPITAL AUXILIO MUTUO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-758-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Nutricionistas Hospital Auxilio Mutuo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.