Organization Active NPI

Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
National Provider Identifier
1366484594
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
57 Issued in 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
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Mrs. Felicita Bonilla Rivera, MHSA
Title
Administrator
Phone
(787) 892-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 57 PR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366484594. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 27, 1956 in PR
Enrollment address
Road # 2 KM 173.4
Bo. Cain Alto
San German, PR 6830000
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital de la ConcepcionCCN 400021 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Felicita Bonilla Individual Corporate DirectorAdministrator Oct 16, 2007 100%
Lizmari Calderon Individual Corporate DirectorFinance Director Oct 16, 2007 90%
W-2 Managing EmployeeFinance Director Jan 10, 2007 100%
Operational/Managerial ControlFinance Director Jan 10, 2007 100%
Marie Ferrer Individual Corporate DirectorPFS Director Aug 15, 2003 100%
W-2 Managing EmployeePFS Director Oct 1, 2025 100%
Operational/Managerial ControlPFS Director Aug 15, 2003 100%
Edgar Crespo Campos Individual Corporate DirectorAdministrator Jan 15, 2021 100%
W-2 Managing EmployeeAdministrator Jan 15, 2021 100%
Operational/Managerial ControlAdministrator Jan 15, 2021 100%
Hospital de la Concepcion Inc Organization, San German, PR Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Feb 27, 1966 100%
Operational/Managerial Control Feb 27, 1966 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hospital de la Concepcion IncSan German, PR, CCN 40T021 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 27, 1966
Oct 1, 2012
Hospital de la Concepcion IncSan German, PR, CCN 405032 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

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

Affiliated clinicians 80

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1366484594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830285",
            "telephone_number": "787-892-1860",
            "fax_number": "787-264-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE #2 KM 173.4",
            "address_2": "BO. CAIN ALTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834266",
            "telephone_number": "787-892-1860",
            "fax_number": "787-264-7908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Calle Javilla",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "006834102",
            "country_code": "US",
            "telephone_number": "787-892-1860",
            "fax_number": "787-892-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPITAL DE LA CONCEPCION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "BONILLA RIVERA",
        "authorized_official_first_name": "FELICITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-892-1860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.