NPIMap

Organization Active NPI

Hospital General de Castaner Inc

  • General Acute Care Hospital
  • Castaner, PR
National Provider Identifier
1760486344
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
46 CNC 97 315 Issued in PR
Legal business name
HOSPITAL GENERAL DE CASTANER INC
Practice address
Road 135 KM 64 2
Castaner, PR 00631
Phone
(787) 829-5010
Fax
(787) 829-4668
NPI assigned
Jun 10, 2005
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. Domingo Monroig
Title
Executive Director
Phone
(787) 829-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 46 CNC 97 315 PR Primary

Addresses

Primary practice location

Road 135 KM 64 2
Castaner, PR 00631

Mailing address

PO Box 1003
Castaner, PR 00631-1003
Phone (787) 829-5010

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041011000338 PR Part B Supplier - Clinic/Group Practice 5294794673 Receives reassigned benefits from 35 practitioners
Practice locations: Castaner, PR
O20060628000103 PR Part A Provider - Hospital 5294794673 Practice locations: Castaner, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760486344. Details of each certification follow.

Hospital certification: CCN 400010

Legal name
HOSPITAL GENERAL DE CASTANER INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 24, 2015
Beds
33
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 13, 1975 in PR
Enrollment address
Carr 135 KM 64.2
Castaner, PR 6312100
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital General de CastanerCCN 400010 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Hospital Gen Castaner18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

53 Calle Gmo Esteves
Jayuya, PR 00664
Phone (787) 544-4907

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Elliot Hernandez Individual Corporate Director Mar 27, 2016
Guillermo J Jimenez Individual Corporate OfficerCfo Mar 5, 2011
W-2 Managing EmployeeCfo Mar 5, 2011
Robin J Russell Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021
Rebecca M Sepulveda Individual W-2 Managing Employee Oct 23, 2006
Elizabeth Cruz Individual Corporate Director Nov 4, 2000
Sara Cruz Individual W-2 Managing Employee Aug 1, 1977

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital General de Castaner IncAdjuntas, PR, CCN 401840 Federally qualified health center Operational/Managerial Control Aug 13, 1975
Hospital General de Castaner IncCastaner, PR, CCN 401002 Federally qualified health center Operational/Managerial Control Aug 13, 1975

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 38

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 38

Affiliated clinicians 2

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1760486344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "006311003",
            "telephone_number": "787-829-5010",
            "fax_number": "787-829-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 135 KM 64 2",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "00631",
            "telephone_number": "787-829-5010",
            "fax_number": "787-829-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL GENERAL DE CASTANER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "MONROIG",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-829-5010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "46 CNC 97 315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castaner, PR

Sources for this page

Verify at the official NPI Registry.