NPIMap

Organization Active NPI

Puerto Rico Women and Children S Hospital LLC

  • Children's Hospital
  • Bayamon, PR
National Provider Identifier
1689148298
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
PUERTO RICO WOMEN AND CHILDREN S HOSPITAL LLC
Practice address
Carr. #2 KM 11.7 Interior
Bayamon, PR 00960
Phone
(787) 620-8181
NPI assigned
Jan 16, 2019
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Mr. Pedro Narvaez
Title
Director de Contrataciones
Phone
(787) 621-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X NU Primary

Addresses

Primary practice location

Carr. #2 KM 11.7 Interior
Bayamon, PR 00960

Mailing address

PO Box 426
Bayamon, PR 00960-0426
Phone (787) 620-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210714002240 PR Part A Provider - Hospital 3476955329 Practice locations: Bayamon, PR
O20211020001448 PR Part B Supplier - Clinic/Group Practice 3476955329 Receives reassigned benefits from 5 practitioners
Practice locations: Bayamon, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689148298. Details of each certification follow.

Hospital certification: CCN 400138

Legal name
PUERTO RICO WOMEN AND CHILDREN S HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 10, 2023
Last certification
Mar 10, 2023
Beds
127
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 12, 2018 in PR
Enrollment address
PR-2, KM. 11.6
Bayamon, PR 9590001
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Puerto Rico Women and Children Hospital LLCCCN 400138 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Pedro Narvaez Individual W-2 Managing EmployeeDirector of Billing and Credenti Dec 26, 2018
Jenny Negron Individual Corporate Director May 1, 2024
Quiros Investment Holdings, LLC Organization, Guaynabo, PR LLC 5% Or Greater Indirect Ownership Interest Dec 26, 2018 80%
BMHC LLC Organization, Guaynabo, PR LLC 5% Or Greater Direct Ownership Interest Dec 26, 2018 100%
Carlos Disdier Individual 5% Or Greater Indirect Ownership Interest Dec 26, 2018 20%
Corporate OfficerVice President & Board Member Dec 26, 2018 20%
Corporate DirectorVice President & Board Member Dec 26, 2018 20%
Maycar PR Investments, LLC Organization, Ciales, PR LLC 5% Or Greater Indirect Ownership Interest Dec 26, 2018 20%
Jose Quiros Individual 5% Or Greater Indirect Ownership Interest Dec 26, 2018 80%
Corporate OfficerPresident & Board Member Dec 26, 2018 80%
Corporate DirectorPresident & Board Member Dec 26, 2018
Jaime Maestre-Grau Individual Corporate OfficerChief Executife Officer Jan 2, 2025 100%
Noriselle Rivera Individual W-2 Managing EmployeeVP of Finance Dec 26, 2018

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 35

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 35

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1689148298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600426",
            "telephone_number": "787-620-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM 11.7 INTERIOR",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-620-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO WOMEN AND CHILDREN S HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "NARVAEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DIRECTOR DE CONTRATACIONES",
        "authorized_official_telephone_number": "787-621-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.