NPIMap

Organization Active NPI

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

Doing business as Grupo Centro de Cancer Auxilio Mutuo

  • General Acute Care Hospital
  • San Juan, PR
National Provider Identifier
1376561522
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Doing business as
Grupo Centro de Cancer Auxilio Mutuo
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
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

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

Specialties & licenses 1

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

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 names 2

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

Medicare participation

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

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Hospital Espanol Auxilio Mutuo Puerto Rico Inc29 organizations share this tax ID, including this one

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 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1376561522",
    "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": "787-758-2000",
            "fax_number": "787-771-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "STOP 37.5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "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": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-758-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Centro de Cancer Auxilio Mutuo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grp Centro de Cancer Auxilio",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grp Centro de Cancer Auxilio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.