NPIMap

Organization Active NPI

Western Medical Hospice, Inc.

  • Community Based Hospice Care Agency
  • Mayaguez, PR
National Provider Identifier
1639113301
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WESTERN MEDICAL HOSPICE, INC.
Practice address
#4040 Calle B Lote 30
Zona Industrial Guanajibo, Suite 4,
Mayaguez, PR 00682-1378
Phone
(787) 831-2252
Fax
(787) 834-6220
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Luis Horacio Ruiz, M.D.
Title
Executive Director
Phone
(787) 833-5898

Specialties & licenses 1

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

Addresses

Primary practice location

#4040 Calle B Lote 30
Zona Industrial Guanajibo, Suite 4,
Mayaguez, PR 00682-1378

Mailing address

PO Box 8174
Marina Station
Mayaguez, PR 00681-8174
Phone (787) 833-5898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000161 PR Part A Provider - Hospice 1557508249 Practice locations: Mayaguez, PR; Ponce, PR; Hatillo, PR

Hospice certification: CCN 401561

Legal name
WESTERN MEDICAL HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 31, 2001
Last certification
Apr 12, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 1, 2000 in PR
Enrollment address
Calle B Lote 30 # 4040
Zona Industrial Guanajibo, Suite 4
Mayaguez, PR 00682-1378

Care Compare: Hospice

Medicare Care Compare
Listed as
Western Medical HospiceCCN 401561 · All quality measures
Ownership
For-Profit
Certified
May 31, 2001
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4040 Calle B
Ste 4
Mayaguez, PR 00682
Phone (787) 831-2252

Ownership & related parties

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.

NameRoleSinceShare
Maribel Mercado Individual W-2 Managing EmployeeMD; Jan 1, 2022
Rafael a Carrero Mejias Individual Corporate OfficerTreasurer/Cfo Feb 24, 2009
W-2 Managing EmployeeAd;Treasurer/Cfo Feb 24, 2009
Jose M del Rio Ferrer Individual 5% Or Greater Direct Ownership Interest Aug 1, 2000 32.05%
Zoraida Acevedo-Rosa Individual 5% Or Greater Direct Ownership Interest Aug 1, 2000 34.95%
Corporate OfficerCorp Secretary Aug 1, 2000 34.95%
Luis H Ruiz Sierra Individual 5% Or Greater Direct Ownership Interest Aug 1, 2000 33%
Corporate OfficerPresident Aug 1, 2000 33%
Corporate DirectorPresident Aug 1, 2000 33%

Owners & managing parties with NPI records 3

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.

Affiliated clinicians 5

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1639113301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8174",
            "address_2": "MARINA STATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006818174",
            "telephone_number": "787-833-5898",
            "fax_number": "787-832-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#4040 CALLE B LOTE 30",
            "address_2": "ZONA INDUSTRIAL GUANAJIBO, SUITE 4,",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821378",
            "telephone_number": "787-831-2252",
            "fax_number": "787-834-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "HORACIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-833-5898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.