NPIMap

Organization Active NPI

Dr Susoni Health Community Services Corp

Doing business as Hospital Pavia Arecibo

  • General Acute Care Hospital
  • Arecibo, PR
National Provider Identifier
1972531218
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2CNC00143 Issued in PR
Legal business name
DR SUSONI HEALTH COMMUNITY SERVICES CORP
Doing business as
Hospital Pavia Arecibo
Practice address
Ave San Luis
Carr 129 KM 0.1
Arecibo, PR 00612
Phone
(787) 650-7272
Fax
(787) 650-7310
NPI assigned
Jun 28, 2006
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Mr. Hector M Ortiz
Title
Finance Director
Phone
(787) 650-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2CNC00143 PR Primary

Addresses

Primary practice location

Ave San Luis
Carr 129 KM 0.1
Arecibo, PR 00612

Mailing address

PO Box 659
Arecibo, PR 00613-0659
Phone (787) 650-7272

Other names 1

  • HOSPITAL PAVIA ARECIBO Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040809000068 PR Part A Provider - Hospital 6406828706 Practice locations: Arecibo, PR
O20041207000555 PR Part B Supplier - Clinic/Group Practice 6406828706 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Arecibo, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972531218. Details of each certification follow.

Hospital certification: CCN 400087

Legal name
DR SUSONI HEALTH COMMUNITY SERVICES CORP
Doing business as
HOSPITAL PAVIA ARECIBO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 21, 1966
Last certification
Oct 19, 2023
Beds
230
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 22, 1992 (1 total)
Organization structure
CorporationProprietary
Enrollment address
Carr 129 KM 1.0, Ave. San Luis
Arecibo, PR 6130659
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Pavia AreciboCCN 400087 · 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
Dr Susoni Health Community Services Corp2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Carmen Feliciano Vargas Individual 5% Or Greater Indirect Ownership InterestSecretary of Board Director May 21, 2015 38.25%
Corporate OfficerSecretary of Board Director May 21, 2015 38.25%
Artau Holdings LLC Organization, Guaynabo, PR Management services company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 21, 2015 100%
Operational/Managerial Control May 21, 2015 100%
Eduardo J Artau Gomez Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 38.25%
Corporate OfficerPresident of Board Director May 21, 2015 38.25%
Hospital Dr. Susoni. Inc. Organization, Arecibo, PR Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 21, 2015 100%
Operational/Managerial Control May 21, 2015 100%
Karen Z Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Corporate Officer May 21, 2015 7.83%
Eduardo Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Corporate Officer May 21, 2015 7.83%
Francisco Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest May 21, 2015 7.83%
Corporate Officer May 21, 2015 7.83%
Paola Gomez Rivera Individual W-2 Managing EmployeeFinance Director Feb 3, 2025 50%
Jose Miguel Talavera Reyes Individual W-2 Managing EmployeeExecutive Director Oct 28, 2024 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

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 47

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 47

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1972531218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130659",
            "telephone_number": "787-650-7272",
            "fax_number": "787-650-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SAN LUIS",
            "address_2": "CARR 129 KM 0.1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-7272",
            "fax_number": "787-650-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSONI HEALTH COMMUNITY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "787-650-7272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "2CNC00143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL PAVIA ARECIBO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.