Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

Organization Active NPI General Acute Care Hospital · San Juan, PR

NPI 1376561522 · NPPES record last updated Dec 5, 2023

Key facts

NPI
1376561522
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Practice address
735 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917-5022
Phone
(787) 758-2000
Fax
(787) 771-7927
NPI assigned
Jul 17, 2006
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 28

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

View all 28

Practitioners 64

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

View all 64

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

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

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040807000223 PR Part B Supplier - Clinic/Group Practice 4183602832 Receives reassigned benefits from 31 practitioners
2 other NPIs on this enrollment
Practice locations: San Juan, PR

National Provider Directory

Tax ID family
GRP Anestesia Hosp Aux M (29 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

735 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917-5022

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 758-2000

Other identifiers

IdentifierTypeStateIssuer
84980OtherPRGRP CENTRO DE CANCER AUX

Other names

  • Grupo Centro de Cancer Auxilio Mutuo Doing business as
  • Grp Centro de Cancer Auxilio Other name

Other providers in San Juan, PR

All providers in San Juan, PR · General Acute Care Hospital in Puerto Rico

Sources for this page

Verify at the official NPI Registry.