NPIMap

Organization Active NPI

Hospital Comunitario Buen Samaritano Inc

Doing business as Hospital Buen Samaritano INC

  • General Acute Care Hospital
  • Aguadilla, PR
National Provider Identifier
1922034776
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
982A Issued in PR
Legal business name
HOSPITAL COMUNITARIO BUEN SAMARITANO INC
Doing business as
Hospital Buen Samaritano INC
Practice address
Carr. Est. PR-460, KM. 0.2
Bo Caimital Bajo
Aguadilla, PR 00603
Phone
(787) 819-0955
Fax
(787) 658-0682
NPI assigned
Jun 23, 2006
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mr. Jesus Nieves Rosario
Title
Executive Director
Phone
(787) 658-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 982A PR Primary

Addresses

Primary practice location

Carr. Est. PR-460, KM. 0.2
Bo Caimital Bajo
Aguadilla, PR 00603

Mailing address

PO Box 4055
Aguadilla, PR 00605-4055
Phone (787) 658-0000

Other names 1

  • Hospital Buen Samaritano INC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060925000198 PR Part A Provider - Hospital 3678578796 1 other NPI on this enrollment
Practice locations: Aguadilla, PR
O20120223000880 PR Part B Supplier - Clinic/Group Practice 3678578796 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Aguadilla, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922034776. Details of each certification follow.

Hospital certification: CCN 400079

Legal name
HOSPITAL COMUNITARIO BUEN SAMARITANO INC
Doing business as
HOSPITAL BUEN SAMARITANO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 25, 2023
Beds
230
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 25, 1999 in PR
Enrollment address
Carr. Est. PR-460, KM. 0.2
Bo Caimital Bajo
Aguadilla, PR 6039643
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Comunitario Buen Samaritano IncCCN 400079 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
BS Radiology and Women's Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jose G Gratacos Negron Individual Corporate OfficerFinance Director Mar 18, 2024
W-2 Managing EmployeeFinance Director Mar 18, 2024
Hospital Comunitario Buen Samaritano Inc Organization, Aguadilla, PR Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1999 100%
5% Or Greater Indirect Ownership Interest Jul 1, 1999 100%
Rodolfo Felipe Mangual Ramos Individual Corporate DirectorPresident of the Board of Directors Jun 21, 2023
Victor Nieves Individual 5% Or Greater Mortgage Interest Jun 23, 2013
Corporate OfficerBoard Member Jun 23, 2013
Jesus Nieves Rosario Individual Corporate OfficerExecutive Director Jul 15, 2024
W-2 Managing EmployeeAd; Jul 15, 2024

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 41

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 41

Affiliated clinicians 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1922034776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4055",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "787-658-0000",
            "fax_number": "787-658-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. EST. PR-460, KM. 0.2",
            "address_2": "BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-819-0955",
            "fax_number": "787-658-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL COMUNITARIO BUEN SAMARITANO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "NIEVES ROSARIO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-658-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "982A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Buen Samaritano INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospital Buen Samaritano INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.