Organization Active NPI

Bella Vista Hospital, Inc

Doing business as Bella Vista Family Medicine

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1881998334
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELLA VISTA HOSPITAL, INC
Doing business as
Bella Vista Family Medicine
Practice address
349 St. KM 3.4
Mayaguez, PR 00680
Phone
(787) 834-6000
Fax
(787) 805-3705
NPI assigned
Dec 27, 2010
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLA VISTA HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Mrs. Marielis Guerra
Title
Ceo
Phone
(787) 834-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

349 St. KM 3.4
Mayaguez, PR 00680

Mailing address

PO Box 1750
Mayaguez, PR 00681-1750
Phone (787) 834-6000

Other names 1

  • Bella Vista Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118000267 PR Part B Supplier - Clinic/Group Practice 6507831351 Receives reassigned benefits from 13 practitioners
Practice locations: Mayaguez, PR

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Grupo Medicina General12 organizations share this tax ID, including this one
Part of
Grupo Medicina General

Other organizations with this tax ID 11

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

Locations

770 Ave Hostos
Mayaguez, PR 00682
Phone (787) 832-8548

770 Ave Hostos
#M
Mayaguez, PR 00682

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1881998334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811750",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 ST. KM 3.4",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLA VISTA HOSPITAL, INC",
        "enumeration_date": "2010-12-27",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "MARIELIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-834-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bella Vista Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.