NPIMap

Organization Active NPI

Hospital Menonita Guayama Inc

Doing business as Gupo Medico Menonita de Guayama

  • Specialist
  • Guayama, PR
National Provider Identifier
1487246807
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HOSPITAL MENONITA GUAYAMA INC
Doing business as
Gupo Medico Menonita de Guayama
Practice address
Hospital Menoniya de Guayama
Ave. Pedro Albizu Campos Urb la Hacienda
Guayama, PR 00785-0011
Phone
(787) 434-1700
Fax
(787) 434-1715
NPI assigned
Feb 8, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL MENONITA GUAYAMA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Lissette Vazquez Rivera
Title
Billing and Collector Director
Phone
(787) 434-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

Hospital Menoniya de Guayama
Ave. Pedro Albizu Campos Urb la Hacienda
Guayama, PR 00785-0011

Mailing address

PO Box 1650
Cidra, PR 00739-1650
Phone (787) 434-1700

Other identifiers 1

IdentifierTypeStateIssuer
17-086OtherPRCNC

Other names 1

  • Gupo Medico Menonita de Guayama Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lvazquez@mghpr.org Direct
Direct Messaging Address lvazquez@mghpr.org Direct
Direct Messaging Address lvazquez@mghpr.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201002361 PR Part B Supplier - Clinic/Group Practice 6507127180 Receives reassigned benefits from 17 practitioners
Practice locations: Guayama, PR

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Farmacia de la Comunidad Hospital Menonita de Guayama4 organizations share this tax ID, including this one
Part of
Farmacia de la Comunidad Hospital Menonita de Guayama

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1487246807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MENONIYA DE GUAYAMA",
            "address_2": "AVE. PEDRO ALBIZU CAMPOS URB LA HACIENDA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850011",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MENONITA GUAYAMA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL MENONITA GUAYAMA INC",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "BILLING AND COLLECTOR DIRECTOR",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "17-086",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Adress mail",
            "address_1": "Hospital Menoniya de Guayama",
            "address_2": "Ave. Pedro Albizu Campos Urb La Hacienda",
            "city": "Guayama",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007850011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Adress mail",
            "address_1": "Hospital Menoniya de Guayama",
            "address_2": "Ave. Pedro Albizu Campos Urb La Hacienda",
            "city": "Guayama",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007850011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Adress mail",
            "address_1": "Hospital Menoniya de Guayama",
            "address_2": "Ave. Pedro Albizu Campos Urb La Hacienda",
            "city": "Guayama",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007850011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gupo Medico Menonita de Guayama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.