C j l Box30532 Uanati, PR 00674

Tel 787-854-3322

D 0 CTO RS’ H O S P I T A L C E N T E R

T u H o s p i t a l F a m i l i a r

December 21,2005

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US Nuclear Regulatory Commission Medical Branch -i= Division of Nuclear Materials Safety Region 1

630 King of Prussia Pennsylvania 19406

Re: Doctors’ Center Hospital License 52-25531 -01 (Change of Ownership)

To whom it may concern:

We formally notify that Doctor’s Center, Inc. (d/b/a Doctors’ Center Hospital) performed a corporate reorganization by which, amongst many things, a new corporation was created, organized under the laws of the Commonwealth of Puerto Rico and registered in its Department of State under the number 157345. The new corporation was created under the name of Doctors’ Center Hospital, Inc. Please acknowledge that effective January 1, 2006 the operations and administration of Doctors’ Center Hospital will be transferred to Doctor’s Center Hospital, Inc. Enclosed please find copy of the new entity’s articles of incorporation (Addendum A), certificate of incorporation (Addendum B) and the corporate resolution authorizing the transfer (Addendum C). The Board of Directors of Doctors’ Center Hospital, Inc. is comprised as specified (Addendum D). A copy of the current license is included as Addendum E.

We respectfully request your office to issue an amended license under the name of Doctors’ Center Hospital, Inc. as of January 1, 2006. Please acknowledge that coetaneous with this petition we have also requested the local and federal authorities the issuance of new licenses, certificates and permits.

If there is any other document necessary to proceed with our request, please notify us as soon as possible, since the new owner will assume the responsibilities effective January 1, 2006..

General Counsel

C: Puerto Rico Department of Health

Addendums

A: Doctors' Center Hospital, Inc. Certificate of Incorporation B: Certificate of Corporate Resolution about Directors and Officials of the new Corporation C: Corporate Resolutions D: Certificate of Corporate Resolution of the Ceding Corporation E: USNRC License

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la . : ~ ~ ' , ~ , t trellte. ( . r ; i i 01 p , r ~ ~ p ~ ; ~ d o de estaidscar y orgar\izar una corporacion r ' 'if * Z S [!e hero, a iwor con las dispcssiciones de la Ley General de Corporaciones

IC? 1 V.3 .dr4 4 q?.;:a~o L1br.e hsociado de Puerto f?ico, Ley #144 aprobada el 10 de ago ;to de 1995, por la preseiite certifico:

PRIMERO: El nombre de la Carporaci6n sera INMOBILIARIA SAN ALBERTO, INC. ("la Corpoiactbn").

SEGUNDO: La oficina principal o local de negocio de la CorporacicSn sed en Marginal Cam. # 2 Km 47.7 Adyacente ai Doctors' Center Hospital, Manati, P.R. 00674. La Carporacibn, sin embargo, podrd estabfecer otras sucursales, agencias u oficinas en otros lugares en y fuera de Puerto Rim.

El agente residente a cargo de la Corporacibn lo sera la misma Corporaci6n can sus oficinas localizadas en Marginal Cam. ## 2 Km 47.7 Adyacente a1 Doctors'Center Hospital, Manatl, P.R. 00674. Su direccidn postal serd Call Box 30532, Manati, Puerto Rico 00674.

TERCERO: El propbsito de esta Corporation sera el dedicarse a cualesquiera actcs o negocios llcitos para 10s males las corporaciones pueden organizane conforrne a la Ley General de Corporaciones de 1995, incluyendo, per0 sin limitarse a:

1. Ejecutar, llevar a c a b y ser parte en contratos de toda clase y descripci'n que no Sean wntnrios a la ley y el orden pfiblico, can cualquier persona, fima, asociacibn, cuerpo gubernamental: y garantizar dicho contrato y obligaciones.

2. La inversidn en propiedad de cualquier clase y descripcion; incluyendo propiedad inmueble, opciones, hipotecas y cualquier otra clase ?e bienes rnuebles, la administracibn, rnejoramiento y desarrdlo de cualquie( clase de propiedad inmueble que la Corporaci6n posea o pueda poseer o que tenga una qxidn para adquirir o en que tenga cualquier inter& propietaria; arrendar, hipo:acar o de cualquier otra forma traficar en dichos bienes inmuebles, dsponi4ndose que la Corporacibn no estard autorizada en lo que concierne a la propiedad ;nmueble lacalizada en el Estado Libre Asociado de Puerto Rim, a iievar a cab0 al negocio de compra y venta de bienes raices en exceso de 10s :'mt;.es 25tablecidm ~ ' n Ias disposicicnes de la Secci6n 14 del Atfcufo VI de la f3o*tstituci6n thl E.stado Llbre Asociado :le Puerta Rim.

3. Llevdr a cabo bransacciones r,'ornercia/es, venta y compra de vivares, vituallas y mercaderia y cornercio sn general, tanto al por mayor cOmo al detal.

01 R ECC IO N rosm NOM BRL- --- - . ___ - - - - - - - . .*- -.L __ . _- . ---- CAL1.E Bt)LI?(IA 33

HATO KEY, SAN JUAN P fJERTO RlCO 00917

. . '.'A'. :;?A DEL C. GU7XIAN CALLE BOLIVIA 33

TERCER PISO, OFiCINA 301 H A T 0 REY. SAN JUAN PUERTO RCO 0091 7

CPCER PISO, OFlClNA 301

SEXTO: La existencia de esta Carporacidn sed perpetua.

SEPTIMO: Todas las acciones emitidas por la Corporaci6n de todas clases, salvo las acciones en cartera, estolran representadas por certificados y solo un n6rnero especifico de personas que no excederan de treinta y cinm (35) sedn 10s tenedores inscrito de las mismas. La Corporacibn tendrb existencia perpetua.

OCTAVO: La totalidad de todas las dases de acciones emitidas, estarCl sujetas a una o mas restn'cciones en la transferencia que permite el Articulo 6.02 de la Ley General de Corporaciones de 1996.

NOVENO: La Corporacidn no harh oferta alguna de ninguna clase de ecclones q U 8 pueda constftuir una "oferta publica'' dentro del signMcado de la Ley de Valores Federal de 1933 U.S.C.A. Sec.77, segun enmndada.

DkIMO: La Corporacibn tendre inicialmente un (1) director. El nOrnero de directares podrd ser incrementado o disminuido de acuerdo con 10s reglarnentos , per0 nunca pdrS tener menos de uno (1).

DeCIMO PRIMERO: La Corporaci6n se resews el derecho de enmendar modificar o derogsr cualquier disposici6n del certificado de adicionar otras disposlclones autorizadas por las leyes del Estado Libre Asaciado de Puerto Riw.

DtClMO SEGUNDO: La Junta de Directores tendr4 todos 10s poderes rnhererrtes a la Corporaci6n, excepto los que la ley o 10s estatutor de la Corporack5n dorguen expresamente a 10s accionistas;

O$ClNIO TERCERO: La Corporacibn tendrd vigencia a la fecha de la rsdicacibn.

OEClMO CUARrO: La facultades de la incorporadora habrhn de terminar a/ 1adicat5e el certificado de incorporaci6n y el nombre y direcci6n de !as personas que ?e dssempeiiarhn wmo directores hasta la primera reunion anual de accionistas o hasta que su(s) wcesor(s) le reemplacen son:

3

YO, d 71. itriLitcnte, firrno y suscribo 10s anteriores Artlculos de Incorporaci6n con el prop6sito de formar una carporacibn intima confoftne a Ias Ley General de Corporaciones de 1995 y jum que 10s hechos expuestos e n 10s misrnos son verldicos.

Fcchado sn San Juan, Puerto Rico hoy dia 26 de octubre de 2005.

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.. . . (7ES.TWWADO UE REGlStRQ ,.

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Yo, FERB&.h&0 J. B'hILLA, SecreWfio de Estado bl EstadpjCkre Asociado

de .Puerto'Rico, .-%.

26 de octubre de 200& .a I

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FJB /ais ~??0'?5072262 - $110 (36

Estado Libre Asociado de Pierto Rico

San Juan, P’uerto Rico DEPARTAMENTO DE ESTADO

C ERTIFICA DO

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CERTIFICO: Q k & l . d o n o h r n h de 200;, a las Pi59 P&n ’ ’ INMp&i~lA SAN

ALBERTO, 1NC.”

iadq de Puerto Rim, en

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Secietario de Estado . .

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C O R P E N M O ? Rev hlsyo 2002

Estado Libre Asociado de Pdetio HICO ~ o m r i ~ o r l ~ ~ e a l t h of Puerlo Rico

DEPARTAMENTO DE ESTADO Department of State

CERTIFICADO DE ENMIENOA DEL CERTIFICADO DE INCORPORACI6N ANTES DE REClBlRSE PAGOS CON CARGO AL CAPITAL

CERTIFICATE OF AMENDMENT OF THE CERTlFlCA TE OF INCORPORATlON BEFORE THE RECEtPf OF PAYMENT OF CAPITAL

157345 Registro numero: Registry number:

PRIMERO: EI/Los Articulo(s) FIRST: Article(s) del Certificado de Incorporacion de - of the Certificate of Incoporation of una corporacion organizada bajo las leyes de Puerto Rico, queda(n) enmendado@) para que lea(n) como sigue: a corporation organized pursuant to the laws Of PUeriO Rico, hadhave been atended so that it/rhey read(s) as follows:

PR 1 HERO

D O O R ' S CENTER HOSPlTAL, 1M.

SEGUNDO: Dicha(s) enmienda(s) fue(ron) adoptada(s) por una mayoria de 10s incorporadores (0 mayorla de 10s directores s i estuGesen consignados en el certificado de incorporacibn o si hubiesen sido elegidos y en posesidn de

SECOND: Said amendment@) wevlvere adopted by a majority of the incorporators (or majority of the directors if !hey were named in the ceriificate of incorporalion or have been elected)

TERCERO: :Jt: c e nan recibido pagos con cargo al capital corporativo de dicha corporacan i , f~/2n .$

su cargo).

, ,::e/;t of captal to said mporatjon has been mceived.

.. , $ f t ~ m z a d o que su%&, juro que PEW HERNANIKZ E Y E S EN rES7!MCNIO CE LO CUAL, Yo, 10s ~ J ~ I G S conter dcs en CEie Certificado son cierlos, hoy, dla :del mes IN WITNESS WHEQEOF, I

del arlo -. I Authorized Officer who signs this Cer t f i te

hereby swear that the facts herein stated are true, th/s - of t-

Estado Libre Asociado de Puerto Rico DEPARTAMENTO DE ESTADO

San Juan, Puerto Rico

CE RTI FlCADO I- t IINANUO J. 80NILL.A. Secretario de Estado del Estado Libre Asociado de

Putrrto Hicu,

CERTIFICO: Que el 8 de diciembre de 2005, a las 152 PM, en “DOCTOR’S CENTER

HOSPITAL, INC”, registro 157345, se efectuo la siguiente transaccibn:

Enmienda Nombre Corporativo

Anterior Actual

DOCTOR’S CENTER HOSPITAL, INC INC

DOCTORS CENTER HOSPITAL,

EN TESTIMONIO DE LO CUAL, firmo el

presente y hago estarnpar en 61 el Gran Sello

del Estado Libre Asociado de Puerto Rico, en

la ciudad de San Juan, hoy 8 de diciembre de

2005.

F~RNANDO J. BONILLA Secretario de Estado

FJBhno 2006009034 - 320.00

DEPARTMENT OF Tl lE TREASLJRY TtITERHAl.. RFVrFlllE S T R V I C E I ’ l lTLADEl-f ‘ I i tA P A 1‘1755 -01123

$3 11~s

F o r a - r z i s tance you may c a l l tis a t : 1-800 . 8 2 9 - 4 9 3 3

I F Y l lU WRITE, ATTACH THE STlJB OF T I l I S N O T I C E .

WE ASSIGHED YOU AN EMPLOYER IDENTIFICATION NUMBER

Thank y o u f o r a p p l y i n g f o r an E T N . We ass igned you EIN 66-0665951. This E I N w i l l i d e n t i f y your h u s i n e s s account, t a x r e t u r n s , and documents, even i f you have no employees. Please keep th i s n o t i c e i n your permanent r e c o r d s .

When f i l i n g tax documents, p lease use t h e l a b e l I R S p r o v i d e d . I f t h a t i s n ’ t p o s s i b l e you shou ld use you r E I N and complete name and address shown above on a l l f e d e r a l t a x f o r m s , payments and r e l a t e d correspondence. I f t h i s i n f o r m a t i o n i s n ’ t c o r r e c t , p l e a s e c o r r e c t i t u s i n g t h e t e a r o f f s t u b f rom th is n o t i c e . R e t u r n i t t o u s so we can c o r r e c t y o u r accoun t . I f you use any v a r i a t i o n o f y o u r name o r EIN, d o i n g so c o u l d cause a d e l a y i n p r o c e s s i n g and may r e s u l t i n i n c o r r e c t i n f o r m a t i o n i n y o u r account . Do ing so c o u l d r e s u l t i n our a s s i g n i n g you more t h a n one E I N .

Based on t h e i n f o r m a t i o n f r o m you o r you r r e p r e s e n t a t i v e , you m u s t f i l e t h e f o l l o w i n g fo rm(s1 by t h e d a t e shown n e x t t o i t .

Form 941PR Form 940PR

04/30/2006 01/31/2007

If you have q u e s t i o n s about t h e fo rm(s1 o r t h e due d a t e ( s 1 shown, you can c a l l u s 3t 1-800-829-4933 o r w r i t e t o us a t t h e address a t the top o f t h e f i r s t page o f t h i s I e t t e r . ‘1.58, A c c o t ~ t ~ t i ~ i g P e r i o d s and Methods, at your l o c a l I R S o f f i c e o r f r o m o u r web s i t e a t www. i rs g o v .

‘ le 155 I . ] t l t > r l / C > U a t i x c I<qssif i c e t i o n (S -Corpo ra t i on , P a r t n e r s h i p , e t c . I based on 1 t , f C 1 t 1-1 I t 1 - 1 1 1 $ 1 1 . . d f t -a im JQU o r your r e p r e s e n t a t i v e . I t i s n o t a l e g a l d e t e r m i n a t i o n o f y u ~ r r - t , i x r : l . i ~ , - , ~ f i c a t i o n , and i s n o t binding on t h e I R S . I f you want a d e t e r m i n a t i o n o f yotit- f , ~ x ( - 1 I . s i f i c n t i o n , you may seek a p r i v a t e l e t t e r r u l i n g from t h e I R S under ttie 13t ocet i t i r :bs ‘ ,e t f o r t t i i n Rdvenue Procedure 98-01, 1938- 1 I . R . B. 7 ( o r super-ceding rvw~i1t le p q - t ~ t . . l r i r l b f o r (l ie year a t i s s u e . 1

I f y o u need h e l p i n d e t e r m i n i n g what you r t a x y e a r i s , you can g e t P u b l i c a t i o n

CERTIFICATE OF CORPORATE RESOLUTION

I , Abraham Martinez Perez, of legal age, married, resident of Guaynabo, Puerto

Rico, and Secretary of Doctor's Center, Inc. a corporation that exists and is organized

in accordance with the laws of the Commonwealth of Puerto Rico, hereby CERTIFY:

That in a meeting of the Board of Directors of Doctor's Center, Inc. duly

convoked and celebrated on the lgth of September, 2005, in which quorum was

established, the following Resolution was adopted with the required amount of votes:

"BE IT RESOLVED by this Board of Directors to acknowledge the submission of the Articles of Incorporation of Doctors' Center Hospital, Inc. in the Department of State of the Commonwealth of Puerto Rico on the 26'h day of October of 2005 and of the Certificate of Incorporation expedited on the 26'h day of October of 2005 which states the corporation was registered under the number: 157345.

BE IT RESOLVED, that after obtaining the authorization from the Puerto Rico Department of Health, Doctor's Center, Inc. transfers to Doctors' Center Hospital, Inc. each and every one of the Certificates of Need and Convenience for the diverse types of medical-hospital services that appear under the name Doctor's Center, Inc. from January 1, 2006.

BE IT RESOLVED, that after obtaining the corresponding authorization from any government, regulatory or accrediting agencies, Doctor's Center, Inc. transfers to Doctors' Center Hospital, Inc. every license, permit and/or certification andlor permission necessary related with the operation of the medical- hospital facility operating under the name Doctor's Center, Inc. and located at State Road No. 2, Km. 47.7, Manati, Puerto Rico 00674.

I

IT IS HEREBY CERTIFIED that this Resolution, enacted in the meeting held on 19'

day of September of 2005, is currently in all its effect and it has not been revoked or

amended by the Board of Directors.

THEREFORE, I sign the present Certification under the stamp of Doctor's Center Inc ,

on this day 21" day of December of 2005 I / ' 1

(I / / I 1 L [ i8 ,l I

SECRE~ARY

Aff idavi t Number: .__p?b ._

Sworn and subscribed to before me by ABRAHAM MARTINEZ PEPt '', c) f tttc

abovr \t'i+t,d personal circumstances, personally known to me, in Mall,iti I~L I~> I I .O

CERTIFICATE OF CORPORATE RESOLUTION

I, Abraham Martinez Perez, of legal age, married, resident of Guaynabo, Puerto

Rico, and Secretary of Doctors’ Center Hospital, Inc. a corporation existing and

organized under the laws of the Commonwealth of Puerto Rico, hereby CERTIFY:

That in a meeting of the Board of Directors of Doctors’ Center Hospital, lnc. duly

convoked and celebrated on lgth day of December, 2005, in which quorum was

established, the following Resolution was adopted with the required amount of votes:

“BE IT RESOLVED by this Board of Directors to accept the cession that Doctor’s Center, Inc. performs in favor of Doctors’ Center Hospital, Inc. transferring all the Certificates of Need and Convenience issued by the Puerto Rico Department of Health commencing on January 1, 2006 and the cession of all licenses, certificates and/or necessary permits related with the operation of a medical-hospital facility operating under the name Doctor’s Center, Inc. and located at the following address: State Road Number 2, Km. 47.7, Manati, Puerto Rico 00674.

IT IS HEREBY CERTIFIED that this Resolution, enacted in the meeting

celebrated on the lgth day of December of 2005, is currently in all its effect and it had ,

not been revoked or amended by the Board of Directors. I

Therefore, I sign the present Certification under the stamp of Doctor’s Center,

Inc., on this 21st day of December of 2005.

Affidavit Number: ”/? Sworn and subscribed to before me by ABRAHAM MARTINEZ PEREZ, of the

-sonally known to me, in Manati, Puerto

52-25531 -01

030-35451

NRC FORM 374A U.S. NUCIJZAR REGULATORY COMYISSIOU

MATERIALS LICENSE SUPPLEMENTARY SHEET

I ' 11.

12.

13.

14.

Licensed material is only authorized for use by, or under the supervision

A. Individuals permitted to work as an authorized user in accordance \(I

B. The following individuals are authorized users for medical use as ini

Authorized Us ers Material and Use

Elba Ordub Acbm, M.D Maria E. Acevedo, M.D

JOG R. Vazquez Selles, M.D.

Reinaldo Lagun-a Figueroa, M.D.

35.100; 35.200; 3:

35.100; 35.200; 3t

35.100; 35.200; 3:

35.100; 35.200; 3!

The Radiation Safety Officer for this license is Elba Qrduna Adirn, M.D.

In addition to the pmsession limits in Item &.the licensee shall further re material to quantities below the minimum limit specified in 10 CFR 30.35 demmissioning financial assurance

The licensee is authorized to transport licensed matem in acrprdance u 10 CFR Part 71, "Packaging and iransp&t&tion of FtiidicIadive Material.

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L PAGE 12 of 3 PAGES

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I O CFR 35 I 13 and 35.14. , ! ted: ,

3

3

3

3

n t i l e posa Or establi!

!he prcwisi

jsion d licensed ing

1s of

This is to acknowledge the receipt of your letterlapplication dated

, and to inform you that the initial processing which i&f /Lor

w, includes an administrative review has been performed.

5-2-- z-rn/-cv d T h e r e were no administrative omissions. Your application was assigned to a

technical reviewer. Please note that the technical review may identify additional omissions or require additional information.

0 Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee & Accounts Receivable Branch, who will contact you separately if there is a fee issue involved.

Your action has been assigned Mail Control Number When calling to inquire about this action, please refer to this control number. You may call us on (610) 337-5398, or 337-5260.

/ z $k6/

NRC FORM 532 (RI)

(6-96)

Sincerely, Licensing Assistance Team Leader