NPIMap

Organization Active NPI

Presbyterian Community Hospital, Inc

Doing business as Ashford Presbyterian Community Hospital

  • General Acute Care Hospital
  • San Juan, PR
National Provider Identifier
1770580813
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
61 Issued in PR
Legal business name
PRESBYTERIAN COMMUNITY HOSPITAL, INC
Doing business as
Ashford Presbyterian Community Hospital
Practice address
1451 Ashford
San Juan, PR 00907-1511
Phone
(787) 721-2160
Fax
(787) 723-3797
NPI assigned
Jul 5, 2005
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

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

Specialties & licenses 11

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 Primary
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 1

  • Ashford Presbyterian Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770580813. Details of each certification follow.

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
CorporationNon-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

Care Compare: Hospital

Medicare Care Compare
Listed as
Presbyterian Community HospitalCCN 400001 · 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 Presbiteriano3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

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 EmployeeAssociate Administrator Nov 9, 2020
Sueann Saldana Carmona Individual W-2 Managing EmployeeHuman Resource Director Mar 4, 2024
Blanca Santana Individual W-2 Managing EmployeeAssociate Director, Complianc Apr 11, 2016
Rafael Gonzalez Rodriguez Individual Corporate DirectorMedical Director Nov 8, 2019
Itza Soto Individual W-2 Managing EmployeeExecutive Director Nov 17, 2021
Louriel Cruz Oquendo Individual W-2 Managing EmployeeChief Information Officer May 4, 2022
Mariluz Torres Melendez Individual W-2 Managing EmployeeHealth Information Administra Feb 8, 2021
Berenice Perez Rivera Individual W-2 Managing Employee Jul 1, 2019
Jose Davila Perez Individual W-2 Managing EmployeeFinancial Chief Officer Jun 8, 2023
Luis Rodriguez Individual Corporate Officer Oct 19, 1998
W-2 Managing EmployeeBilling Supervisor Oct 19, 1998

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 173

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

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1770580813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9020032",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009020032",
            "telephone_number": "787-721-2160",
            "fax_number": "787-723-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ASHFORD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-721-2160",
            "fax_number": "787-723-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "DELVALLE GONZALEZ",
        "authorized_official_first_name": "SARAHI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "787-721-2160"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "61",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashford Presbyterian Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.