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Mennonite General Hospital Inc

Organization Active NPI General Acute Care Hospital · Aibonito, PR

NPI 1851320394 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1851320394
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 8

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

Other NPIs with the same Medicare PAC ID 4

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

Practitioners 219

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

View all 219

Affiliated clinicians 67

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

View all 67

Medicare Care Compare: Home health agency

Listed as
Servicios de Salud En El Hogar Menonita CCN 407007
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Non-Profit
Certified
May 10, 1976
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Physical therapy

Source: Medicare Care Compare.

Medicare Care Compare: Hospice

Listed as
Hospicio Menonita CCN 401510
Ownership
For-Profit
Certified
Apr 1, 1992
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare Care Compare: Hospital

Listed as
Hospital Menonita de Aibonito CCN 400018
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 (4 enrollments) in PR

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
Corporation · Non-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
Corporation · Non-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
Corporation · Non-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

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 Director
Cfo		 Nov 1, 2019 100%
W-2 Managing Employee
Cfo		 Nov 1, 2019 100%
Corporate Director
Cfo		 Jan 1, 2024 100%
W-2 Managing Employee
Cfo		 Jan 1, 2024 100%
Lissette Vasquez Rivera
Individual 		Corporate Director
Director of Billing and Collecti		 Nov 1, 2019 100%
W-2 Managing Employee
Director of Billing and Collenti		 Nov 1, 2019 100%
Corporate Officer
Director Billing and Collection		 Jan 1, 2023 5%
W-2 Managing Employee
Director Billing and Collection		 Jan 1, 2023 5%
Corporate Director
Director of Billing and Collection		 Jan 1, 2024 10%
W-2 Managing Employee
Direcror of Billing and Collection		 Jan 1, 2024
Jose Solivan Rivera
Individual 		Corporate Director
Asocciated Ceo		 Nov 1, 2019 100%
W-2 Managing Employee
Asocciated Ceo		 Nov 1, 2019 100%
Corporate Director
Asocciated Ceo		 Jan 1, 2024 100%
W-2 Managing Employee
Asocciated Ceo		 Jan 1, 2024 100%
Ricardo Hernandez Rivera
Individual 		Corporate Director
Ceo		 Nov 1, 2019 100%
W-2 Managing Employee
Ceo		 Nov 1, 2019 100%
Contracted Managing Employee
Ceo		 Nov 1, 2019 100%
Corporate Director
Ceo		 Jan 1, 2024 100%
W-2 Managing Employee
Ceo		 Jan 1, 2024 100%
Jose Veguilla Cartagena
Individual 		Corporate Director
Board Member for a Non Profit Or		 Mar 10, 1994
Corporate Director
Board Member for a Nonprofit Org		 Mar 10, 1994
Maria a Echevarria Cardona
Individual 		Corporate Director
Board Member for a Non Profit Or		 May 5, 2010
Corporate Director
Board Member for a Nonprofit Org		 May 5, 2010
Hermann Bauer Miesses
Individual 		Corporate Director
Board Member for a Non Profit Or		 Dec 13, 2005
Corporate Director
Board Member for a Nonprofit Org		 Dec 13, 2005
Daniel Olivera
Individual 		Corporate Director
Board Member for a Non Profit Or		 May 20, 2005
Corporate Director
Board Member for a Nonprofit Org		 May 20, 2005
Jose Rivera
Individual 		Corporate Director
Board Member for a Non Profit Or		 Dec 13, 2005
Corporate Director
Board Member for a Nonprofit Org		 Dec 13, 2005
Virginia Rivera
Individual 		Corporate Director
Board Member for a on Profit Org		 Apr 29, 2009
Corporate Director
Board Member for a Nonprofit Org		 Apr 29, 2009
Maria Irizarry
Individual 		Corporate Director
Board Member for a Non Profit Or		 May 5, 2010
Victor Ortiz
Individual 		Corporate Director
Board Member for a Non Profit Or		 Dec 9, 2015
Corporate Director
Board Member for a Nonprofit Org		 Mar 10, 1966
Mariangela Alvarado Soto
Individual 		Corporate Officer Jan 1, 2023 100%
W-2 Managing Employee
Administrator		 Jan 1, 2023 100%
Corporate Director
Administrator		 Jan 1, 2024 100%
W-2 Managing Employee
Ad;		 Jan 1, 2024
Larry Bonilla Sauder
Individual 		Corporate Director
Board Member for a Non Profit Or		 Nov 11, 2009
Corporate Director
Board Member for a Nonprofit Org		 Nov 11, 2009
Juan Colon
Individual 		Corporate Director
Board Member of a Non Profit Org		 Apr 29, 2009
Corporate Director
Board Member for a Nonprofit Org		 Apr 29, 2009
Francisco D Rodriguez Maldonado
Individual 		Corporate Director
Board Member for a Non Profit Or		 Aug 1, 2013
Corporate Director
Board Member for a Nonprofit Org		 Aug 1, 2013
Maria de Los a Bonilla
Individual 		Corporate Director
Director Hospice Services		 Jan 1, 2024 100%
W-2 Managing Employee
Director Hospice Services		 Jan 1, 2024 100%

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

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

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

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

TypeEndpointUseAffiliation
Direct Messaging Address lvazquez@mghpr.org Other

Other providers in Aibonito, PR

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

Sources for this page

Verify at the official NPI Registry.