NPIMap

Organization Active NPI

Yauco Healthcare Corporation

Doing business as Hospital Pavia Yauco

  • Psychiatric Hospital
  • Yauco, PR
National Provider Identifier
1760414783
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
26 Issued in PR
Legal business name
YAUCO HEALTHCARE CORPORATION
Doing business as
Hospital Pavia Yauco
Practice address
Carr 128 K.M 1.0
Yauco, PR 00698
Phone
(787) 856-1000
Fax
(787) 856-4250
NPI assigned
Jul 7, 2006
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mrs. Dinorah Hernandez
Title
Executive Director
Phone
(787) 856-1000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 26 PR
Long Term Care Hospital 282E00000X
Psychiatric Hospital 283Q00000X 26 PR Primary

Addresses

Primary practice location

Carr 128 K.M 1.0
Yauco, PR 00698

Mailing address

P.O Box 5643
Yauco, PR 00698
Phone (787) 856-1000

Other names 1

  • Hospital Pavia Yauco Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161101001050 PR Part A Provider - Hospital 5496746737 Practice locations: Yauco, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760414783. Details of each certification follow.

Hospital certification: CCN 40S110

Legal name
YAUCO HEALTHCARE CORPORATION
Doing business as
HOSPITAL PAVIA YAUCO
Organization structure
CorporationProprietary
Incorporated
Oct 2, 2002 in PR
Enrollment address
Carr 128, K.M 1.0
Yauco, PR 6980000
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Locations

500 Carr 128
Yauco, PR 00698
Phone (939) 491-1328

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
Dinorah Hernandez Vazquez Individual Corporate DirectorCeo Jun 2, 2014 100%
W-2 Managing EmployeeCeo Jun 2, 2014 100%
Operational/Managerial ControlCeo Jun 2, 2014 100%
Carmen Feliciano Vargas Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 38.25%
Operational/Managerial Control May 21, 2015
Artau Holdings II LLC Organization, Guaynabo, PR Created for acquisition, LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest May 21, 2015 100%
Operational/Managerial Control May 21, 2015 100%
Eduardo J Artau Gomez Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 38.25%
Operational/Managerial Control May 21, 2015 38.25%
Karen Z Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Operational/Managerial Control May 21, 2015 7.83%
Eduardo Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Operational/Managerial Control May 21, 2015 7.83%
Francisco Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Operational/Managerial Control May 21, 2015 7.83%
Elizabeth Gonzalez Individual Corporate DirectorCfo Dec 17, 2002 100%
W-2 Managing EmployeeCfo Dec 17, 2002 100%

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1760414783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 5643",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000",
            "fax_number": "787-856-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 128 K.M 1.0",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000",
            "fax_number": "787-856-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAUCO HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DINORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-856-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "26",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PR",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Pavia Yauco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.