NPIMap

Organization Active NPI

San Lucas Metro, Inc.

Doing business as Hospital Episcopal San Lucas Metro

  • General Acute Care Hospital
  • San Juan, PR
National Provider Identifier
1841919974
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SAN LUCAS METRO, INC.
Doing business as
Hospital Episcopal San Lucas Metro
Practice address
Carr 844, KM .5
Cupey Bajo
San Juan, PR 00928-0000
Phone
(787) 761-8383
Fax
(787) 844-2090
NPI assigned
Aug 23, 2022
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Mrs. Rosemary De la Cruz Severino
Title
Principal Finance Officer
Phone
(787) 864-4300

Specialties & licenses 1

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

Addresses

Primary practice location

Carr 844, KM .5
Cupey Bajo
San Juan, PR 00928-0000

Mailing address

PO Box 336810
Ponce, PR 00733-6810
Phone (787) 761-8383

Other names 1

  • HOSPITAL EPISCOPAL SAN LUCAS METRO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211003128 PR Part A Provider - Hospital 7315396736 Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841919974. Details of each certification follow.

Hospital certification: CCN 400139

Legal name
SAN LUCAS METRO, INC.
Doing business as
HOSPITAL EPISCOPAL SAN LUCAS METRO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 1, 2024
Last certification
May 1, 2024
Beds
60
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
Carr. 844, KM 0.5 - Cupey
San Juan, PR 9284153
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Episcopal San Lucas MetroCCN 400139 · 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
San Lucas Metro Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Servicios de Salud Episcopales, Inc. Organization, Ponce, PR Corporation, Management services company, Non-profit Operational/Managerial Control Feb 26, 2021 100%
Rafael L Morales Maldonado Individual Corporate DirectorPresidente Junta de Directores Jul 15, 2022
Juan a Salazar Trogolo Individual Corporate OfficerPrincipal Oficial Ejecutivo Jan 1, 2018
W-2 Managing EmployeePrincipal Oficial Ejecutivo Jan 1, 2018
Antonio Cruz Ortiz Individual Corporate DirectorMiembro Junta de Directores Jul 15, 2022
Ramon Cantero Frau Individual Corporate DirectorMiembro Junta de Directores Jul 15, 2022
Mario H Rodriguez Individual Corporate DirectorVice-Presidente Junta de Directores Jul 15, 2022
Emilia Morales Vega Individual Corporate DirectorMiembro Junta de Directores Jul 15, 2022
Melisa Milagros Rodriguez Martes Individual Corporate DirectorMiembro Junta de Directores Jul 15, 2022
Jose Rene Figueroa Individual Contracted Managing EmployeeMD; Oct 1, 2023
Yelitza Lucena Quiles Individual Corporate DirectorAdministrator Nov 9, 2022
W-2 Managing EmployeeAdministrator Nov 9, 2022
Angel Rivera Rodriguez Individual Corporate DirectorMiembro Junta de Directores Jul 15, 2022
Iglesia Episcopal Puertorriquena, Inc Organization, Trujillo Alto, PR Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Feb 26, 2021 100%
Rosemary de la Cruz Severino Individual Corporate OfficerPrincipal Oficial Financiero Jan 1, 2018
W-2 Managing EmployeePrincipal Oficial Financiero Jan 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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.

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1841919974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336810",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336810",
            "telephone_number": "787-761-8383",
            "fax_number": "787-844-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 844, KM .5",
            "address_2": "CUPEY BAJO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280000",
            "telephone_number": "787-761-8383",
            "fax_number": "787-844-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUCAS METRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ SEVERINO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRINCIPAL FINANCE OFFICER",
        "authorized_official_telephone_number": "787-864-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL EPISCOPAL SAN LUCAS METRO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOSPITAL EPISCOPAL SAN LUCAS METRO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.