Organization Active NPI

Angeles Visitantes Inc

  • Home Health Agency
  • Juana Diaz, PR
National Provider Identifier
1356576391
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
19 Issued in PR
Legal business name
ANGELES VISITANTES INC
Practice address
29 Calle Tomas Carrion Maduro
Suite 1
Juana Diaz, PR 00795-1602
Phone
(787) 837-8882
Fax
(787) 837-3748
NPI assigned
May 20, 2009
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Mrs. Ana C Munoz, ESQ
Title
Ceo
Phone
(787) 479-0011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PR
Home Health Agency 251E00000X 19 PR Primary

Addresses

Primary practice location

29 Calle Tomas Carrion Maduro
Suite 1
Juana Diaz, PR 00795-1602

Mailing address

PO Box 800982
Coto Laurel, PR 00780-0982
Phone (787) 837-8882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090728000250 PR Part A Provider - Home Health Agency 9830242601 Practice locations: Juana Diaz, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356576391. Details of each certification follow.

Home health agency certification: CCN 407033

Legal name
ANGELES VISITANTES, INC
Doing business as
ANGELES SAN CRISTOBOL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 25, 2009
Last certification
Jun 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 24, 2007 in PR
Enrollment address
6 Calle la Cruz
Juana Diaz, PR 00795-2430
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angeles San CristobalCCN 407033 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 25, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

National Provider Directory

National Provider Directory

Locations

3005 Ave San Cristobal
Ste 500
Coto Laurel, PR 00780

29 Calle Tomas Carrion Maduro
Ste 1
Juana Diaz, PR 00795
Phone (787) 837-8882

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
Ana Munoz Individual Corporate OfficerVice-President of the Board Feb 2, 2011
Corporate DirectorChief Executive Officer Feb 1, 2013 100%
Armando L Munoz Individual Contracted Managing EmployeeMedical Director Aug 1, 2019
Armando Munoz Individual 5% Or Greater Direct Ownership InterestPresident Mar 1, 2014 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1356576391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800982",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800982",
            "telephone_number": "787-837-8882",
            "fax_number": "787-837-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE TOMAS CARRION MADURO",
            "address_2": "SUITE 1",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951602",
            "telephone_number": "787-837-8882",
            "fax_number": "787-837-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES VISITANTES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-479-0011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.