NPIMap

Organization Active NPI

Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Rehabilitation Clinic/Center
  • San Juan, PR
National Provider Identifier
1992369615
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Practice address
715 Ave Ponce de Leon
San Juan, PR 00917-5032
Phone
(787) 758-2000
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Mr. Rafael Jaca
Title
Bussines Office Director
Phone
(787) 771-7934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
San Juan, PR 00917-5032

Mailing address

PO Box 191227
San Juan, PR 00919-1227
Phone (787) 758-2000

Other names 1

  • Auxilio Unidad de Rehabilitacion Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830001845 PR Part A Provider - Hospital 4183602832 1 other NPI on this enrollment
Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992369615. Details of each certification follow.

Hospital certification: CCN 40T016

Legal name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1991 in PR
Enrollment address
715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 9175032
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Hospital Auxilio Mutuo of Puerto RicoCCN 40T016 · All quality measures
Ownership
Non-profit
Certified
May 15, 2017

National Provider Directory

National Provider Directory
Tax ID family
GRP Med de Familia Ho Aux29 organizations share this tax ID, including this one
Part of
GRP Med de Familia Ho Aux

Other organizations with this tax ID 28

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

View all 28

Locations

2213 Ponce Byp
Ste 1002
Ponce, PR 00717
Phone (787) 492-0015

275 Ave Ponce de Leon
San Juan, PR 00917
Phone 78775820003278

715 Ave Ponce de Leon
Ste 375
San Juan, PR 00917

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Rafael Jaca Individual W-2 Managing EmployeeBusiness Office Director Sep 1, 2021
Angel Cocero Individual Corporate DirectorBoard of Directors President Jan 1, 2003
Jorge L. Matta Individual Corporate OfficerAdministrator Mar 1, 2005
W-2 Managing EmployeeAdministrator Mar 1, 2005

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.San Juan, PR, CCN 400016 Hospital Other Oct 1, 1991

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 91

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 91

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1992369615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-758-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "JACA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "BUSSINES OFFICE DIRECTOR",
        "authorized_official_telephone_number": "787-771-7934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auxilio Unidad de Rehabilitacion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.