NPIMap

Organization Active NPI

Yauco Healthcare Corporation

Doing business as Hospital Pavia Yauco

  • General Acute Care Hospital
  • Yauco, PR
National Provider Identifier
1760475388
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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) 267-6614
NPI assigned
Aug 30, 2005
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 26 PR
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

Carr 128 K.M 1.0
Yauco, PR 00698

Mailing address

PO Box 5643
Yauco, PR 00698-5643
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
O20060511000358 PR Part A Provider - Hospital 5496746737 1 other NPI on this enrollment
Practice locations: Ponce, PR; Yauco, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760475388. Details of each certification follow.

Hospital certification: CCN 400110

Legal name
YAUCO HEALTHCARE CORPORATION
Doing business as
HOSPITAL PAVIA YAUCO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 27, 1980
Last certification
Mar 1, 2024
Beds
186
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Oct 2, 2002 in PR
Enrollment address
Carretera 128 KM 1.0 Bo Susua
Hospital Pavia Yauco
Yauco, PR 6980001
Main/Primary Hospital Location
Hospital subgroups
General, 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).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Pavia YaucoCCN 400110 · 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
Tax ID family
Yauco Healthcare Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

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

500 Carr 128
#10
Yauco, PR 00698

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
Dinorah Hernandez Vazquez Individual Corporate Director May 21, 2015
W-2 Managing Employee May 21, 2015
Operational/Managerial Control May 21, 2015
Carmen Feliciano Vargas Individual 5% Or Greater Indirect Ownership Interest38.25 May 21, 2015
Operational/Managerial Control Oct 2, 2002 38.25%
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%
Marco Reyes Concepcion Individual Corporate DirectorRegional Director Jan 1, 2013
W-2 Managing EmployeeRegional Director Jan 1, 2013
Eduardo J Artau Gomez Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 38.25%
Operational/Managerial Control Oct 2, 2002 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 DirectorFinance Director Dec 17, 2002
W-2 Managing EmployeeFinance Director Dec 17, 2002
Operational/Managerial Control Dec 17, 2002

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 24

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 24

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1760475388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5643",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985643",
            "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": "787-267-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAUCO HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-07-20",
        "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.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "26",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "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.