NPIMap

Organization Active NPI

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1851853873
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Practice address
715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917
Phone
(787) 758-2000
Fax
(787) 771-7402
NPI assigned
Apr 1, 2019
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL ESPANOL AUXILIO MUTUO DEPUERTO RICO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Mr. Rafael Jaca
Title
Bussines Office Director
Phone
(787) 771-7934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 758-2000

Other names 1

  • Gastroenterologos Auxilio Mutuo Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040807000223 PR Part B Supplier - Clinic/Group Practice 4183602832 Receives reassigned benefits from 31 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Juan, PR

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
GRP Med de Familia Ho Aux29 organizations share this tax ID, including this one
Part of
GRP Med de Familia Ho Aux

Other organizations with this tax ID 28

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

View all 28

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1851853873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "address_2": "STOP 37.5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL ESPANOL AUXILIO MUTUO DEPUERTO RICO, INC.",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "JACA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "BUSSINES OFFICE DIRECTOR",
        "authorized_official_telephone_number": "787-771-7934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterologos Auxilio Mutuo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.