Organization Active NPI

Hospicio la Paz Inc

  • Community Based Hospice Care Agency
  • Arecibo, PR
National Provider Identifier
1609868645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11 Issued in PR
Legal business name
HOSPICIO LA PAZ INC
Practice address
152 Calle Jose Rodriguez Irizarry
Arecibo, PR 00612
Phone
(800) 981-0032
Fax
(787) 880-0832
NPI assigned
Aug 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Luis R Monrouzeau, MBA
Title
Executive Director
Phone
(800) 981-0032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 11 PR Primary

Addresses

Primary practice location

152 Calle Jose Rodriguez Irizarry
Arecibo, PR 00612

Mailing address

152 Calle Jose Rodriguez Irizarry
Arecibo, PR 00612
Phone (800) 981-0032

Other identifiers 2

IdentifierTypeStateIssuer
6120115OtherPRHUMANA HEALTH PLANS
68298HOOtherPRTRIPLE-S

Other names 1

  • Aztin Servicios de Salud Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000637 PR Part A Provider - Hospice 7618978842 Practice locations: Aguadilla, PR; Arecibo, PR; Barranquitas, PR; Guayama, PR; Las Piedras, PR; Mayaguez, PR; Ponce, PR; San Juan, PR…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609868645. Details of each certification follow.

Hospice certification: CCN 401527

Legal name
HOSPICIO LA PAZ INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 19, 1993
Last certification
Nov 25, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 17, 1996 in PR
Enrollment address
152 Calle Jose Rodriguez Iriz
Ste 201
Arecibo, PR 00612-4625

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospicio la Paz IncCCN 401527 · All quality measures
Ownership
For-Profit
Certified
Jan 19, 1993
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
40D1037321Hospicio la Paz Inc152 Calle Jose R Irizarry, Arecibo, PR 00612Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

152 Calle Jose Rodriguez Iriz
Arecibo, PR 00612
Phone (800) 981-0032

152 Calle Jose Rodriguez Iriz
#101
Arecibo, PR 00612

152 Calle Jose Rodriguez Iriz
#201
Arecibo, PR 00612
Phone (787) 878-1548

205 Calle Celis Aguilera N
Ste 102
Fajardo, PR 00738
Phone (787) 863-1726

349 Ave Hostos
Ste 106
Mayaguez, PR 00680
Phone (787) 805-6222

351 Ave Hostos
Ste 107
Mayaguez, PR 00680
Phone (787) 805-6222

291 Ave Los Caobos
Ste 11
Mercedita, PR 00715
Phone (787) 259-6390

2604 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 219-6929

1245 Calle Cairo
San Juan, PR 00920
Phone (787) 273-3630

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Maria de Jesus Individual W-2 Managing Employee Apr 29, 2021
Josue Monrouzeau Soto Individual Corporate DirectorVP?Board Member Jul 27, 2016
Tamar E Diaz Santiago Individual Corporate OfficerAdministrator Apr 1, 2021
W-2 Managing EmployeeAdministrator Apr 1, 2021
Geinny L. Ortiz Algarin Individual W-2 Managing Employee Jul 23, 2019
Ana Monrouzeau Individual W-2 Managing Employee Apr 1, 2021
Marisela Matos Nazario Individual W-2 Managing Employee Jan 26, 2018
Selma Lopez Barrios Individual W-2 Managing EmployeeJose Hermina Perez Jan 15, 2016
Ana Miranda Pagan Individual W-2 Managing Employee Feb 7, 2022
Adlymarie Burgos Alvarez Individual W-2 Managing Employee Jul 12, 2021
Johanna Soto Hernandez Individual W-2 Managing EmployeeClinical Supervisor Jan 15, 2016
Evelyn Ramos Morales Individual W-2 Managing EmployeeClinical Supervisor Jan 15, 2016
Maria E Gonzalez Nadal Individual W-2 Managing EmployeeJose Hermina Perez Jan 2, 2007
Ramon F Torrado Frias Individual Corporate OfficerMedical Director - Ceo Sep 29, 2023
W-2 Managing EmployeeMedical Director - Ceo Sep 29, 2023
Edwin Duran Santiago Individual Corporate Director Feb 7, 2022
Adaliz Adames Lopez Individual W-2 Managing EmployeeClinical Supervisor Jan 15, 2016
Luis R Monrouzeau Rosa Individual 5% Or Greater Direct Ownership InterestOwner Oct 16, 1995 100%
Corporate OfficerCeo May 6, 2016
Corporate DirectorPresident/Board Member Oct 16, 1995

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 70

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

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609868645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CALLE JOSE RODRIGUEZ IRIZARRY",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "800-981-0032",
            "fax_number": "787-880-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CALLE JOSE RODRIGUEZ IRIZARRY",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "800-981-0032",
            "fax_number": "787-880-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICIO LA PAZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONROUZEAU",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-981-0032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS",
            "identifier": "6120115",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "68298HO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aztin Servicios de Salud Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.