Hospicio la Paz Inc

Organization Active NPI Community Based Hospice Care Agency · Arecibo, PR

NPI 1609868645 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1609868645
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
11 (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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Practitioners 1

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

Affiliated clinicians 70

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

View all 70

Medicare Care Compare: Hospice

Listed as
Hospicio la Paz Inc CCN 401527
Ownership
For-Profit
Certified
Jan 19, 1993
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

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
Corporation · Proprietary
Incorporated
May 17, 1996 in PR
Enrollment address
152 Calle Jose Rodriguez Iriz
Ste 201
Arecibo, PR 00612-4625

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 Director
VP?Board Member
Jul 27, 2016
Tamar E Diaz Santiago
Individual
Corporate Officer
Administrator
Apr 1, 2021
W-2 Managing Employee
Administrator
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 Employee
Jose 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 Employee
Clinical Supervisor
Jan 15, 2016
Evelyn Ramos Morales
Individual
W-2 Managing Employee
Clinical Supervisor
Jan 15, 2016
Maria E Gonzalez Nadal
Individual
W-2 Managing Employee
Jose Hermina Perez
Jan 2, 2007
Ramon F Torrado Frias
Individual
Corporate Officer
Medical Director - Ceo
Sep 29, 2023
W-2 Managing Employee
Medical Director - Ceo
Sep 29, 2023
Edwin Duran Santiago
Individual
Corporate Director Feb 7, 2022
Adaliz Adames Lopez
Individual
W-2 Managing Employee
Clinical Supervisor
Jan 15, 2016
Luis R Monrouzeau Rosa
Individual
5% Or Greater Direct Ownership Interest
Owner
Oct 16, 1995 100%
Corporate Officer
Ceo
May 6, 2016
Corporate Director
President/Board Member
Oct 16, 1995

Medicare enrollment records

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…

National Provider Directory

Locations

152 Calle Jose Rodriguez Iriz
#101
Arecibo, PR 00612

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

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

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

155 Calle Barbosa
Las Piedras, PR 00771
Phone (787) 716-0220

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

Specialties & licenses

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

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

IdentifierTypeStateIssuer
6120115OtherPRHUMANA HEALTH PLANS
68298HOOtherPRTRIPLE-S

Other names

  • Aztin Servicios de Salud Inc Former legal business name

Other providers in Arecibo, PR

All providers in Arecibo, PR · Community Based Hospice Care Agency in Puerto Rico

Sources for this page

Verify at the official NPI Registry.