Active NPI
Angeles Visitantes Inc
- Home Health Agency
- Juana Diaz, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 19
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Apr 24, 2007 in PR
- Enrollment address
- 6 Calle la Cruz
Juana Diaz, PR 00795-2430
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angeles San Cristobal
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 25, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ana Munoz | Corporate Officer | Feb 2, 2011 | |
| Corporate Director | Feb 1, 2013 | 100% | |
| Armando L Munoz | Contracted Managing Employee | Aug 1, 2019 | |
| Armando Munoz | 5% Or Greater Direct Ownership Interest | 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.
-
- General Practice Physician
- Juana Diaz, PR
- NPI 1336353184
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Juana Diaz, PR
- NPI 1336353184
Home health agency
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
- Ambassador Veterans Services of Puerto Rico
- Aisha Amin-Melendez
- Ana Livia Vazquez (Laboratorio Medico e Industrial del Sur)
- Wilfredo Andujar-Feliciano, PT
- Angel D. Rodriguez (Rodriguez First Responder)
- Assmca
- Athon, Corp.
- Andres A Aviles Candelario, MD
- Jan Emmanuel Barriera
- Guarionex Batista Delfaus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.