Presbyterian Community Hospital, Inc

Organization Active NPI General Acute Care Hospital · San Juan, PR

NPI 1770580813 · NPPES record last updated Jul 23, 2024

Key facts

NPI
1770580813
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
61 (PR)
Legal business name
PRESBYTERIAN COMMUNITY HOSPITAL, INC
Practice address
1451 Ashford
San Juan, PR 00907-1511
Phone
(787) 721-2160
Fax
(787) 723-3797
NPI assigned
Jul 5, 2005
Organization subpart
No

Authorized official

Name
Sarahi Delvalle Gonzalez
Title
Billing Supervisor
Phone
(787) 721-2160

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 2

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

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

Affiliated clinicians 173

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

View all 173

Medicare Care Compare: Hospital

Listed as
Presbyterian Community Hospital CCN 400001
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Hospital certification: CCN 400001

Legal name
PRESBYTERIAN COMMUNITY HOSPITAL, INC.
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 17, 2025
Beds
207
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Oct 30, 1946 in PR
Enrollment address
1451 Ave Ashford
San Juan, PR 9071511
Other Hospital Practice Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Hector Ortiz Arroyo
Individual
W-2 Managing Employee
Associate Administrator
Nov 9, 2020
Sueann Saldana Carmona
Individual
W-2 Managing Employee
Human Resource Director
Mar 4, 2024
Blanca Santana
Individual
W-2 Managing Employee
Associate Director, Complianc
Apr 11, 2016
Rafael Gonzalez Rodriguez
Individual
Corporate Director
Medical Director
Nov 8, 2019
Itza Soto
Individual
W-2 Managing Employee
Executive Director
Nov 17, 2021
Louriel Cruz Oquendo
Individual
W-2 Managing Employee
Chief Information Officer
May 4, 2022
Mariluz Torres Melendez
Individual
W-2 Managing Employee
Health Information Administra
Feb 8, 2021
Berenice Perez Rivera
Individual
W-2 Managing Employee Jul 1, 2019
Jose Davila Perez
Individual
W-2 Managing Employee
Financial Chief Officer
Jun 8, 2023
Luis Rodriguez
Individual
Corporate Officer Oct 19, 1998
W-2 Managing Employee
Billing Supervisor
Oct 19, 1998

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060526000151 PR Part a Provider - Hospital 8729990171 Practice locations: San Juan, PR

National Provider Directory

Tax ID family
Presbyterian Community Hospital Inc (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X
Ambulatory Surgical Clinic/Center 261QA1903X
Emergency Care Clinic/Center 261QE0002X
Endoscopy Clinic/Center 261QE0800X
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Physical Therapy Clinic/Center 261QP2000X
Radiology Clinic/Center 261QR0200X
Mammography Clinic/Center 261QR0206X
General Acute Care Hospital 282N00000X 61 PR Yes
Clinical Medical Laboratory 291U00000X
Pharmacy 333600000X

Addresses

Primary practice location

1451 Ashford
San Juan, PR 00907-1511

Mailing address

PO Box 9020032
San Juan, PR 00902-0032
Phone (787) 721-2160

Other names

  • Ashford Presbyterian Community Hospital Doing business as

Other providers in San Juan, PR

All providers in San Juan, PR · General Acute Care Hospital in Puerto Rico

Sources for this page

Verify at the official NPI Registry.