NPIMap

Organization Active NPI

Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
National Provider Identifier
1871164871
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
HOSPITAL MENONITA CAGUAS INC
Practice address
Urb Turabo Gardens Salida Carretera 172
Salida 21 Caguas a Cidra
Caguas, PR 00725-8888
Phone
(787) 434-1700
Fax
(787) 434-1711
NPI assigned
Jul 9, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Lissette Vazquez Rivera
Title
Director Billing and Collector
Phone
(787) 434-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

Urb Turabo Gardens Salida Carretera 172
Salida 21 Caguas a Cidra
Caguas, PR 00725-8888

Mailing address

PO Box 1650
Cidra, PR 00739-1650
Phone (787) 434-1700

Other identifiers 1

IdentifierTypeStateIssuer
7OtherPRDEPARTAMENTO DE SALUD DE PUERTO RICO

Other names 2

  • Centro Rehabilitacion Menonita Former legal business name
  • Centro de Rehabilitacion Menonita Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lvazquez@mghpr.org Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518003131 PR Part A Provider - Hospital 8921254780 Practice locations: Caguas, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871164871. Details of each certification follow.

Hospital certification: CCN 40T104

Legal name
HOSPITAL MENONITA CAGUAS INC
Organization structure
CorporationNon-profit
Incorporated
Nov 29, 2011 in PR
Enrollment address
Carr 172, Caguas a Cidra
Salida 21
Caguas, PR 7258888
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Hospital Menonita Caguas IncCCN 40T104 · All quality measures
Ownership
Non-profit
Certified
Apr 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Grupo Medico Menonita Caguas11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 8

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%
Lissette Vasquez Rivera Individual Corporate Officer Jan 18, 1996 100%
W-2 Managing EmployeeBilling Manager Jan 18, 1996 100%
Jose Solivan Rivera Individual Corporate DirectorAssociate Ceo Nov 5, 2007 100%
W-2 Managing EmployeeAssociate Ceo Nov 8, 2007 100%
Jose Pastrana Arzola Individual Contracted Managing EmployeeAdministrator Oct 1, 2019 100%
Corporate DirectorAdministrator Oct 1, 2018 100%
W-2 Managing EmployeeAdministrator Oct 1, 2018 100%
Blas Rivera Torres Individual Corporate OfficerBilling Manager Dec 2, 2011 100%
W-2 Managing EmployeeBilling Manager Dec 2, 2011 100%
Ricardo Hernandez Rivera Individual Corporate DirectorCeo Nov 1, 2019 100%
W-2 Managing EmployeeCeo Nov 1, 2019 100%
Pedro L Melendez Rosario Individual Corporate DirectorCeo Jun 23, 2009 100%
W-2 Managing EmployeeCeo Jun 23, 2009 100%
Hospital Menonita Caguas Inc Organization, Caguas, PR Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Dec 3, 2011 100%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Menonita de Caguas IncCaguas, PR, CCN 400104 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 3, 2011

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 69

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 69

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1871164871",
    "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": "787-434-1700",
            "fax_number": "787-434-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB TURABO GARDENS SALIDA CARRETERA 172",
            "address_2": "SALIDA 21 CAGUAS A CIDRA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258888",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MENONITA CAGUAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "DIRECTOR BILLING AND COLLECTOR",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTAMENTO DE SALUD DE PUERTO RICO",
            "identifier": "7",
            "state": "PR"
        }
    ],
    "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": "Urb Turabo Gardens salida carretera 172",
            "address_2": "salida 21 Caguas a Cidra",
            "city": "Caguas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007258888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Centro Rehabilitacion Menonita",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Centro de Rehabilitacion Menonita",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.