NPIMap

Hospital Comunitario Buen Samaritano Inc

Organization Active NPI General Acute Care Hospital · Aguadilla, PR

NPI 1922034776 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1922034776
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
982A (PR)
Legal business name
HOSPITAL COMUNITARIO 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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 2

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

Corporate family (same tax ID) 7

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

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

Affiliated clinicians 53

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

View all 53

Medicare Care Compare: Hospital

Listed as
Hospital Comunitario Buen Samaritano Inc CCN 400079
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PR

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
Corporation · Non-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

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 Officer
Finance Director		 Mar 18, 2024
W-2 Managing Employee
Finance 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 Director
President of the Board of Directors		 Jun 21, 2023
Victor Nieves
Individual 		5% Or Greater Mortgage Interest Jun 23, 2013
Corporate Officer
Board Member		 Jun 23, 2013
Jesus Nieves Rosario
Individual 		Corporate Officer
Executive Director		 Jul 15, 2024
W-2 Managing Employee
Ad;		 Jul 15, 2024

Medicare enrollment records

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

National Provider Directory

Tax ID family
BS Radiology and Women'S Center (8 organizations share this tax ID)

Specialties & licenses

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

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

  • Hospital Buen Samaritano INC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2024.

{
    "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

All providers in Aguadilla, PR · General Acute Care Hospital in Puerto Rico

Sources for this page

Verify at the official NPI Registry.