NPIMap

Organization Active NPI

Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
National Provider Identifier
1851320394
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MENNONITE GENERAL HOSPITAL INC
Practice address
Calle Jose C Vazquez
Aibonito, PR 00705-1379
Phone
(787) 434-1700
Fax
(787) 434-1715
NPI assigned
Jun 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lissette Vasquez Rivera
Title
Billing and Collector Manager
Phone
(787) 434-1700

Specialties & licenses 1

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

Addresses

Primary practice location

Calle Jose C Vazquez
Aibonito, PR 00705-1379

Mailing address

PO Box 1650
Cidra, PR 00739-1650
Phone (787) 535-1001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lvazquez@mghpr.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20041220000467 PR Part B Supplier - Clinic/Group Practice 6709843964 Receives reassigned benefits from 206 practitioners
6 other NPIs on this enrollment
Practice locations: Ponce, PR; Orocovis, PR; Caguas, PR; Aibonito, PR; Guayama, PR
O20070606000500 PR Part A Provider - Hospital 6709843964 Practice locations: Aibonito, PR; Caguas, PR; Cayey, PR; Coamo, PR; Guayma, PR; Humacao, PR; Ponce, PR
O20160208001143 PR Part A Provider - Hospice 6709843964 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Caguas, PR
O20160226001184 PR Part A Provider - Home Health Agency 6709843964 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Caguas, PR

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1851320394. Details of each certification follow.

Hospital certification: CCN 400018

Legal name
MENNONITE GENERAL HOSPITAL INC
Doing business as
HOSPITAL MENONITA DE AIBONITO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1977
Last certification
Jan 31, 2025
Beds
150
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1976 in PR
Enrollment address
Calle Jose C Vazquez
Bo. Caonillas
Aibonito, PR 7051379
Hospital subgroups
Acute care

Hospice certification: CCN 401510

Legal name
MENNONITE GENERAL HOSPITAL INC
Doing business as
MENNONITE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 1, 1992
Last certification
Sep 1, 2015
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1976 in PR
Enrollment address
Bo Bairoa Carretera 1 KM 34.9
Sector Villa Blanca
Caguas, PR 00726-1379

Home health agency certification: CCN 407007

Legal name
MENNONITE GENERAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 10, 1976
Last certification
Sep 1, 2015
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1976 in PR
Enrollment address
Barrio Bairoa Carretera #1, KM. 34.9
Salud En El Hogar Menonita
Caguas, PR 00726-2800

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 8

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Servicios de Salud En El Hogar MenonitaCCN 407007 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 10, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospicio MenonitaCCN 401510 · All quality measures
Ownership
For-Profit
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Menonita de AibonitoCCN 400018 · 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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Lymari Colon Colon Individual Corporate DirectorCfo Nov 1, 2019 100%
W-2 Managing EmployeeCfo Nov 1, 2019 100%
Corporate DirectorCfo Jan 1, 2024 100%
W-2 Managing EmployeeCfo Jan 1, 2024 100%
Lissette Vasquez Rivera Individual Corporate DirectorDirector of Billing and Collecti Nov 1, 2019 100%
W-2 Managing EmployeeDirector of Billing and Collenti Nov 1, 2019 100%
Corporate OfficerDirector Billing and Collection Jan 1, 2023 5%
W-2 Managing EmployeeDirector Billing and Collection Jan 1, 2023 5%
Corporate DirectorDirector of Billing and Collection Jan 1, 2024 10%
W-2 Managing EmployeeDirecror of Billing and Collection Jan 1, 2024
Jose Solivan Rivera Individual Corporate DirectorAsocciated Ceo Nov 1, 2019 100%
W-2 Managing EmployeeAsocciated Ceo Nov 1, 2019 100%
Corporate DirectorAsocciated Ceo Jan 1, 2024 100%
W-2 Managing EmployeeAsocciated Ceo Jan 1, 2024 100%
Ricardo Hernandez Rivera Individual Corporate DirectorCeo Nov 1, 2019 100%
W-2 Managing EmployeeCeo Nov 1, 2019 100%
Contracted Managing EmployeeCeo Nov 1, 2019 100%
Corporate DirectorCeo Jan 1, 2024 100%
W-2 Managing EmployeeCeo Jan 1, 2024 100%
Jose Veguilla Cartagena Individual Corporate DirectorBoard Member for a Non Profit Or Mar 10, 1994
Corporate DirectorBoard Member for a Nonprofit Org Mar 10, 1994
Maria a Echevarria Cardona Individual Corporate DirectorBoard Member for a Non Profit Or May 5, 2010
Corporate DirectorBoard Member for a Nonprofit Org May 5, 2010
Hermann Bauer Miesses Individual Corporate DirectorBoard Member for a Non Profit Or Dec 13, 2005
Corporate DirectorBoard Member for a Nonprofit Org Dec 13, 2005
Daniel Olivera Individual Corporate DirectorBoard Member for a Non Profit Or May 20, 2005
Corporate DirectorBoard Member for a Nonprofit Org May 20, 2005
Jose Rivera Individual Corporate DirectorBoard Member for a Non Profit Or Dec 13, 2005
Corporate DirectorBoard Member for a Nonprofit Org Dec 13, 2005
Virginia Rivera Individual Corporate DirectorBoard Member for a on Profit Org Apr 29, 2009
Corporate DirectorBoard Member for a Nonprofit Org Apr 29, 2009
Maria Irizarry Individual Corporate DirectorBoard Member for a Non Profit Or May 5, 2010
Victor Ortiz Individual Corporate DirectorBoard Member for a Non Profit Or Dec 9, 2015
Corporate DirectorBoard Member for a Nonprofit Org Mar 10, 1966
Mariangela Alvarado Soto Individual Corporate Officer Jan 1, 2023 100%
W-2 Managing EmployeeAdministrator Jan 1, 2023 100%
Corporate DirectorAdministrator Jan 1, 2024 100%
W-2 Managing EmployeeAd; Jan 1, 2024
Larry Bonilla Sauder Individual Corporate DirectorBoard Member for a Non Profit Or Nov 11, 2009
Corporate DirectorBoard Member for a Nonprofit Org Nov 11, 2009
Juan Colon Individual Corporate DirectorBoard Member of a Non Profit Org Apr 29, 2009
Corporate DirectorBoard Member for a Nonprofit Org Apr 29, 2009
Francisco D Rodriguez Maldonado Individual Corporate DirectorBoard Member for a Non Profit Or Aug 1, 2013
Corporate DirectorBoard Member for a Nonprofit Org Aug 1, 2013
Maria de Los a Bonilla Individual Corporate DirectorDirector Hospice Services Jan 1, 2024 100%
W-2 Managing EmployeeDirector Hospice Services Jan 1, 2024 100%

Owners & managing parties with NPI records 1

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

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 Menonita PoncePonce, PR, CCN 400113 Hospital Operational/Managerial Control Sep 29, 2022
Mennonite HospiceAibonito, PR, CCN 401534 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 1, 1993
Oct 12, 2006

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 219

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 219

Affiliated clinicians 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851320394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-535-1001",
            "fax_number": "787-434-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE C VAZQUEZ",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051379",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE GENERAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "BILLING AND COLLECTOR MANAGER",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "lvazquez@mghpr.org",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "lvazquez@mghpr.org",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "calle jose c vazquez",
            "city": "aibonito",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007051379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.