Hospicio Plena Serenidad, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICIO PLENA SERENIDAD, INC

Practice address

1 Ave Fidalgo Diaz # 30
Villa Asturias
Carolina, PR 00983-3479

Phone

(787) 757-6510

Fax

(787) 757-6499

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Muntaner

Title

President

Phone

(787) 757-6510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Hospice certification: CCN 401566

Legal name

HOSPICIO PLENA SERENIDAD INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 7, 2007

Last certification

Dec 11, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 1, 2003 in PR

Enrollment address

Ave Fidalgo Diaz, Bloque #30, #1
Urb Villa Asturias
Carolina, PR 00983-3479

Listed as

Hospicio Plena SerenidadCCN 401566

Ownership

For-Profit

Certified

Aug 7, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Jennifer E Nieves Santos, MD

  • General Practice Physician
  • Rio Grande, PR
  • NPI 1083642359

  Contracted Managing Employee, Corporate Director

  CMS ownership

Affiliated clinicians 1

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

• Francisco J. Loubriel Ortiz, M.D.

  • Internal Medicine Physician
  • Bayamon, PR
  • NPI 1659371391

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1427140607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4608",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009844608",
            "telephone_number": "787-757-6510",
            "fax_number": "787-757-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE FIDALGO DIAZ # 30",
            "address_2": "VILLA ASTURIAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833479",
            "telephone_number": "787-757-6510",
            "fax_number": "787-757-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICIO PLENA SERENIDAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "MUNTANER",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-757-6510",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Carolina, PR
• Providers in Carolina, 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 May 28, 2019; 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.