NPIMap

Organization Active NPI

CDT Dr. Jose S. Belaval

  • State or Local Public Health Clinic/Center
  • San Juan, PR
National Provider Identifier
1457565194
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CDT DR. JOSE S. BELAVAL
Practice address
2018 Ave. Borinquen Esquina Calle Nin Bo Obrero
San Juan, PR 00915
Phone
(787) 480-5042
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Mr. Luis Acevedo, LIC
Title
Administrator
Phone
(787) 480-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

2018 Ave. Borinquen Esquina Calle Nin Bo Obrero
San Juan, PR 00915

Mailing address

PO Box 21405
San Juan, PR 00928-1405
Phone (787) 480-3876

Other identifiers 14

IdentifierTypeStateIssuer
=========OtherPRGOLDEN CROSS
=========MedicaidPR
=========OtherPRFIRST MEDICAL MC
=========OtherPRCIGNA EXCLUSIVE
=========OtherPRHUMANA HEALTH PLAN
=========OtherPRAMERICAN HEALTH
=========OtherPRCOSVIMED CARE C
=========OtherPRHUMANA GOLF PLUS
=========OtherPRCOSVI PRIVADO
=========OtherPRCRUZ AZUL
=========OtherPRACCA
=========OtherPRMCS LIFE
=========OtherPRPAN AMERICAN
=========OtherPRCOSVI REFORMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000215 PR Part A Provider - Hospital 5597711945 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Juan, PR

Hospital certification: CCN 400015

Legal name
MUNICIPALITY OF SAN JUAN PR
Doing business as
SAN JUAN MUNICIPALITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 1, 2023
Beds
450
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
Bo Monacillos Centro Medico Rio Piedras
San Juan, PR 926
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 15

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

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
San Juan Municipality HospitalCCN 400015
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2018 Ave Borinquen
San Juan, PR 00915
Phone (787) 480-5042

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Luis V Clas Individual Corporate Officer Jan 11, 2021
Corporate Director Jan 11, 2021
W-2 Managing Employee Jan 11, 2021

Owners & managing parties with NPI records 1

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

  • Luis V Clas, M.D.
    • Emergency Medicine Physician
    • San Juan, PR
    • NPI 1497733349

    Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1457565194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281405",
            "telephone_number": "787-480-3876",
            "fax_number": "787-977-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 AVE. BORINQUEN ESQUINA CALLE NIN BO OBRERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-480-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DR. JOSE S. BELAVAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-480-5042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN CROSS",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL MC",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA EXCLUSIVE",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVIMED CARE C",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLF PLUS",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI PRIVADO",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCA",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS LIFE",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN",
            "identifier": "=========",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI REFORMA",
            "identifier": "=========",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.