Hospicio Krystal Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICIO KRYSTAL INC

Practice address

Calle la Candelaria #8
Mayaguez, PR 00680-5043

Phone

(787) 805-6325

Fax

(787) 805-6301

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Del C Amador Fernandez

Title

Ceo

Phone

(787) 869-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Hospice certification: CCN 401575

Legal name

HOSPICIO KRYSTAL INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 13, 2019

Last certification

Aug 13, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 26, 2015 in PR

Enrollment address

Calle de la Candelaria #8
Mayaguez, PR 00680-5043

Listed as

Hospicio Krystal IncCCN 401575 · All quality measures

Ownership

For-Profit

Certified

Aug 13, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 13

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

Practitioners 3

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

• Eythan Morenu Villarrubia, MD

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1265048706
  NPD (past)
• Alice Miriam Rodriguez-Cruz, TRABAJADOR SOCIAL

  • Clinical Social Worker
  • Mayaguez, PR
  • NPI 1508630872
  NPD (past)
• Roberto Velez Echevarria, MD

  • Pediatrics Physician
  • Mayaguez, PR
  • NPI 1386600724
  NPD (past)

Affiliated clinicians 1

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

• Jose Gerardo Rodriguez Valentin, MD

  • General Practice Physician
  • Cabo Rojo, PR
  • NPI 1427785195

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1235635731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190515",
            "telephone_number": "787-869-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LA CANDELARIA #8",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805043",
            "telephone_number": "787-805-6325",
            "fax_number": "787-805-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICIO KRYSTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "AMADOR FERNANDEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "DEL C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-869-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Community Based Hospice Care Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.