NPIMap

Organization Active NPI

Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
National Provider Identifier
1912930488
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
35 Issued in PR
Legal business name
BAYAMON MEDICAL CENTER CORP
Practice address
Carretera No. 2
KM 11.7
Bayamon, PR 00959
Phone
(787) 620-8181
Fax
(787) 269-0085
NPI assigned
Jul 8, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Ana Amarilis Cruz Rodriguez
Title
Account Analyst & Revenues
Phone
(787) 620-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 35 PR Primary

Addresses

Primary practice location

Carretera No. 2
KM 11.7
Bayamon, PR 00959

Mailing address

P.O. Box 306
Bayamon, PR 00960
Phone (787) 620-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071210000419 PR Part A Provider - Hospital 7113016494 Practice locations: Bayamon, PR
O20210325000802 PR Part B Supplier - Clinic/Group Practice 7113016494 Receives reassigned benefits from 14 practitioners
Practice locations: Bayamon, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912930488. Details of each certification follow.

Hospital certification: CCN 400032

Legal name
BAYAMON MEDICAL CENTER CORP
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 22, 2024
Beds
274 (201 certified)
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Dec 4, 1946 in PR
Enrollment address
Carr. 2 KM 11.7
Bayamon, PR 9606006
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Bayamon Medical CenterCCN 400032 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Amb Hosp Hnos Melendez2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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
Jenny Negron Individual Corporate DirectorVP Finance May 1, 2024
Oriental Bank Organization, San Juan, PR Financial institution 5% Or Greater Mortgage Interest Dec 1, 2019 100%
5% Or Greater Security Interest Dec 1, 2019 100%
Quiros Investment Holdings, LLC Organization, Guaynabo, PR LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2018 80%
BMHC LLC Organization, Guaynabo, PR LLC 5% Or Greater Direct Ownership Interest Nov 1, 2018 100%
Eduardo Andres Surillo Individual Corporate DirectorExecutive Director Jan 2, 2025 50%
Operational/Managerial ControlExecutive Director Jan 2, 2025 50%
Carlos Disdier Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 20%
Corporate OfficerVice-President Nov 1, 2018
Corporate DirectorBoard Member Nov 1, 2018 33.3%
Maycar PR Investments, LLC Organization, Ciales, PR LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2018 20%
Jose Quiros Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2018 80%
Corporate OfficerPresident and Secretary Nov 1, 2018
Corporate DirectorBoard Member Nov 1, 2018 33.3%

Facilities with the same owner 3

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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 78

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

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1912930488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 306",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-620-8181",
            "fax_number": "787-269-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA NO. 2",
            "address_2": "KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-620-8181",
            "fax_number": "787-269-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAMON MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ RODRIGUEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "AMARILIS",
        "authorized_official_title_or_position": "ACCOUNT ANALYST & REVENUES",
        "authorized_official_telephone_number": "787-620-8181"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.