San Juan Capestrano Hospital, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Manati, PR

NPI 1659580587 · NPPES record last updated Jan 20, 2026

Key facts

NPI
1659580587
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
55 (PR)
Legal business name
SAN JUAN CAPESTRANO HOSPITAL, INC.
Practice address
Carr 149 KM 7.5 Bo Arriba Saliente
Manati, PR 00674
Phone
(787) 884-5700
NPI assigned
May 21, 2007
Organization subpart
No

Authorized official

Name
Brian P. Farley
Title
Vice President & Secretary
Phone
(615) 861-6000

Other NPIs on the same Medicare enrollment 10

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

Corporate family (same tax ID) 11

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

Practitioners 3

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

Medicare Care Compare: Hospital

Listed as
San Juan Capestrano Hospital Inc CCN 404005
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Hospital certification: CCN 404005

Legal name
SAN JUAN CAPESTRANO HOSPITAL INC
Doing business as
SAN JUAN CAPESTRANO HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 17, 1988
Last certification
Jan 31, 2025
Beds
172
Ownership / control type
Private (for profit)
Organization structure
Corporation · Proprietary
Incorporated
Aug 25, 2011 in PR
Enrollment address
RR 2 Box 11
San Juan, PR 9269767
Other Hospital Practice Location
Hospital subgroups
Other

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Marta Rivera Plaza
Individual
W-2 Managing Employee
Facility Ceo
Sep 1, 2013
Deborah S Kraemer
Individual
W-2 Managing Employee
VP of Business Office Operations
Jun 11, 2012
Acadia Healthcare Company Inc
Organization · Franklin, TN
For-profit
5% Or Greater Indirect Ownership Interest May 1, 2013 100%
Stacie L Harty
Individual
W-2 Managing Employee
Vice President of Managed Care
Jun 18, 2018
Brian Philip Farley
Individual
Corporate Officer
Vice President & Secretary
Jul 26, 2023
Christopher H Hunter
Individual
Corporate Officer
President
Apr 11, 2022
Timothy a Sides
Individual
W-2 Managing Employee
Senior VP Operations & Finance
Jun 5, 2023
Heather B Dixon
Individual
Corporate Officer
Vice President & Secretary
Jul 26, 2023
Operational/Managerial Control
Vice President & Treasurer
Jul 10, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130122000507 PR Part a Provider - Hospital 2466608724 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; San Juan, PR; Ponce, PR; Manati, PR; Humacao, PR; Hatillo, PR; Caguas, PR; Bayamon, PR

National Provider Directory

Tax ID family
San Juan Capestrano Hospital Inc (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 55 PR Yes

Addresses

Primary practice location

Carr 149 KM 7.5 Bo Arriba Saliente
Manati, PR 00674

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other identifiers

IdentifierTypeStateIssuer
10938OtherPRSSS

Other names

  • San Juan Capestrano Hospital Doing business as

Other providers in Manati, PR

All providers in Manati, PR · Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

Sources for this page

Verify at the official NPI Registry.