NPIMap

Organization Active NPI

San Juan Capestrano Hospital, Inc.

Doing business as San Juan Capestrano Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hatillo, PR
National Provider Identifier
1669673885
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
55 Issued in PR
Legal business name
SAN JUAN CAPESTRANO HOSPITAL, INC.
Doing business as
San Juan Capestrano Hospital
Practice address
149 Calle del Mar
Suite 301 Galeria del Norte
Hatillo, PR 00659
Phone
(787) 878-0742
NPI assigned
May 29, 2007
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

149 Calle del Mar
Suite 301 Galeria del Norte
Hatillo, PR 00659

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
10900OtherPRSSS

Other names 1

  • San Juan Capestrano Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669673885. Details of each certification follow.

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
CorporationProprietary
Incorporated
Aug 25, 2011 in PR
Enrollment address
RR 2 Box 11
San Juan, PR 9269767
Other Hospital Practice Location
Hospital subgroups
Other

Other NPIs on the same Medicare enrollment 10

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

Care Compare: Hospital

Medicare Care Compare
Listed as
San Juan Capestrano Hospital IncCCN 404005 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
San Juan Capestrano Hospital Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

549 Calle del Mar
Ste 301
Hatillo, PR 00659
Phone (787) 878-0742

349 Ave Hostos
Ste 104
Mayaguez, PR 00680
Phone (787) 265-2300

11 RR 2
San Juan, PR 00926
Phone (787) 398-7927

Ownership & related parties

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 EmployeeFacility Ceo Sep 1, 2013
Deborah S Kraemer Individual W-2 Managing EmployeeVP 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 EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Christopher H Hunter Individual Corporate OfficerPresident Apr 11, 2022
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Heather B Dixon Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Operational/Managerial ControlVice President & Treasurer Jul 10, 2023

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1669673885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CALLE DEL MAR",
            "address_2": "SUITE 301 GALERIA DEL NORTE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-878-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN CAPESTRANO HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "10900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Capestrano Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.