Hospital de la Concepcion Inc
Organization Active NPI General Acute Care Hospital · San German, PR
NPI 1366484594 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1366484594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 57 (PR)
- Legal business name
- HOSPITAL DE LA CONCEPCION INC
- Practice address
- Route #2 KM 173.4
Bo. Cain Alto
San German, PR 00683-4266 - Phone
- (787) 892-1860
- Fax
- (787) 264-7908
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Felicita Bonilla Rivera, MHSA
- Title
- Administrator
- Phone
- (787) 892-1860
Owners & managing parties with NPI records 2
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 2
Practitioners 54
-
Eileen M Hart, M.D.
-
Gilberto Baez-Rios, M.D.
-
Norberto Baez, M.D.
-
Jose A Cancio, M.D.
-
Jose V Carrillo, MD
-
Rafael Jose Collazo, M.D.
-
Alberto Criado, M.D.
-
Yussel C Garcia-Amador, M.D.
-
Rafael A Justiniano, M.D.
-
Roberto E. Maiz, MD
Affiliated clinicians 80
-
Ivan Rafael Acosta Sr., M.D.
-
Gabriel Altieri Acevedo, M.D.
-
Pedro N Ayala Cruz, M.D.
-
Edgardo Isaac Baez Ayala, M.D.
-
Norberto Baez, M.D.
-
Jose A Cancio, M.D.
-
Jansen Colberg, MD
-
Alberto Criado, M.D.
-
Ramon De Jesus, M.D.
-
Yussel C Garcia-Amador, M.D.
-
Merbil Gonzalez Diaz, M.D.
Medicare Care Compare: Hospital
- Listed as
- Hospital de la Concepcion
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR
Hospital certification: CCN 400021
- Legal name
- HOSPITAL DE LA CONCEPCION INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 3, 2024
- Beds
- 187
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 27, 1956 in PR
- Enrollment address
- Road # 2 KM 173.4
Bo. Cain Alto
San German, PR 6830000 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Felicita Bonilla |
Corporate Director |
Oct 16, 2007 | 100% |
| Lizmari Calderon |
Corporate Director |
Oct 16, 2007 | 90% |
| W-2 Managing Employee |
Jan 10, 2007 | 100% | |
| Operational/Managerial Control |
Jan 10, 2007 | 100% | |
| Marie Ferrer |
Corporate Director |
Aug 15, 2003 | 100% |
| W-2 Managing Employee |
Oct 1, 2025 | 100% | |
| Operational/Managerial Control |
Aug 15, 2003 | 100% | |
| Edgar Crespo Campos |
Corporate Director |
Jan 15, 2021 | 100% |
| W-2 Managing Employee |
Jan 15, 2021 | 100% | |
| Operational/Managerial Control |
Jan 15, 2021 | 100% | |
| Hospital de la Concepcion Inc |
5% Or Greater Direct Ownership Interest | Feb 27, 1966 | 100% |
| Operational/Managerial Control | Feb 27, 1966 | 100% |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospital de la Concepcion Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 27, 1966 Oct 1, 2012 |
| Hospital de la Concepcion Inc |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Dec 5, 2023 Jan 17, 2025 Jan 17, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060410000599 | PR | Part B Supplier - Clinic/Group Practice | 8224047832 |
Receives reassigned benefits from 1 practitioner Practice locations: San German, PR |
| O20060623000085 | PR | Part a Provider - Hospital | 8224047832 | Practice locations: Homigueros, PR; San German, PR; Sabana Grande, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 57 | PR | Yes |
Addresses
Primary practice location
Route #2 KM 173.4
Bo. Cain Alto
San German, PR 00683-4266
Mailing address
PO Box 285
San German, PR 00683-0285
Phone (787) 892-1860
Other practice location 1
8 Calle Javilla
San German, PR 00683-4102
Phone (787) 892-1860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10018 | Other | PR | SSS PROVIDER ID |
Other providers in San German, PR
- Hospicio del Oeste, Inc.
- Hospicio El Dorado, Inc
- Hospital de la Concepcion
- Hospital de la Concepcion Farmacia
- Hospital de la Concepcion Inc
- Hospital de la Concepcion Inc
- Hospital de la Concepcion Inc
- Hospital de la Concepcion Inc
- Hospital de la Concepcion Inc
- Hospital de la Concepcion, Inc
All providers in San German, PR · General Acute Care Hospital in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.