Bayamon Medical Center Corp
Organization Active NPI General Acute Care Hospital · Bayamon, PR
NPI 1912930488 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1912930488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 35 (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
- Organization subpart
- No
Authorized official
- Name
- Ana Amarilis Cruz Rodriguez
- Title
- Account Analyst & Revenues
- Phone
- (787) 620-8181
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Facilities with the same owner 3
Practitioners 69
-
Miguel A Eliza Garcia, 5396
-
Nicole Lugo Santiago, MD, FACOG
-
Javier Castillo Granero, M.D.
-
Rosa M Frasqueri, MD
-
Jose L Quilichini, M.D.
-
Fiorella Enid Reyes-Baez, MD, MS
-
Jose R Rodriguez-Vega, M.D.
-
Luis Javier Santos Reyes, M.D.
-
Maria Jose Agudo, MD
-
Osvaldo Alcaraz Diaz, M.D.
-
Ingrid Maritza Ancalle, M.D.
-
Rafael Berrios-Marcano, M.D.
Affiliated clinicians 78
-
Edwin Alejandro, MD
-
Frankie Alvarado, M.D.
-
Angel L. Arizmendi, M.D.
-
Eric Astacio, M.D
-
Laura C Atienza-Reyes, M.D.
-
Pedro Juan Baez, MD
-
Pablo R Bisono Rodriguez, M.D.
-
Ricardo L Catala, M.D.
-
Jose R Cumba-Bermudez, M. D.
-
Ariel D Davila-Parrilla, M.D.
Medicare Care Compare: Hospital
- Listed as
- Bayamon Medical Center
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR
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
- Corporation · Proprietary
- Incorporated
- Dec 4, 1946 in PR
- Enrollment address
- Carr. 2 KM 11.7
Bayamon, PR 9606006 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Jenny Negron |
Corporate Director |
May 1, 2024 | |
| Oriental Bank |
5% Or Greater Mortgage Interest | Dec 1, 2019 | 100% |
| 5% Or Greater Security Interest | Dec 1, 2019 | 100% | |
| Quiros Investment Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 80% |
| BMHC LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 100% |
| Eduardo Andres Surillo |
Corporate Director |
Jan 2, 2025 | 50% |
| Operational/Managerial Control |
Jan 2, 2025 | 50% | |
| Carlos Disdier |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 20% |
| Corporate Officer |
Nov 1, 2018 | ||
| Corporate Director |
Nov 1, 2018 | 33.3% | |
| Maycar PR Investments, LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 20% |
| Jose Quiros |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 80% |
| Corporate Officer |
Nov 1, 2018 | ||
| Corporate Director |
Nov 1, 2018 | 33.3% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Ctro Cirugia Ambulatoria
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 35 | PR | Yes |
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
Other providers in Bayamon, PR
- Bayamon Endodontics
- Bayamon Family & Geriatric Medical Clinic, LLC
- Bayamon Health Center
- Bayamon Internal Medicine Group
- Bayamon Medical Center Corp
- Bayamon Medical Pharmacy & Cafeteria,Inc.
- Bayamon Medical Solutions
- Bayamon Medical Wellness Center, PSC
- Bayamon Neurology Services, PSC
- Bayamon Oncology Medical CSP
All providers in Bayamon, PR · General Acute Care Hospital in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.