NPIMap

Organization Active NPI

Hospicio Luz Celeste L.L.C.

  • Community Based Hospice Care Agency
  • Caguas, PR
National Provider Identifier
1659732618
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICIO LUZ CELESTE L.L.C.
Practice address
Ave Luis Munoz Marin H17A
Villa del Carmen
Caguas, PR 00725-6158
Phone
(787) 249-3433
NPI assigned
Mar 17, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Yolian Rivera, M.D.NPI 1275588451
Title
President
Phone
(787) 249-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

Ave Luis Munoz Marin H17A
Villa del Carmen
Caguas, PR 00725-6158

Mailing address

PO Box 8427
Caguas, PR 00726
Phone (787) 249-3433

Other names 1

  • Hospicio Luz Celeste L.L.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023002827 PR Part A Provider - Hospice 0244583177 Practice locations: Caguas, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659732618. Details of each certification follow.

Hospice certification: CCN 401576

Legal name
HOSPICIO LUZ CELESTE LLC
Doing business as
HOSPICIO LUZ CELESTE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 27, 2019
Last certification
Sep 27, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 27, 2015 in PR
Enrollment address
H17A Ave Luis Munoz Marin
Villa del Carmen
Caguas, PR 00725-6159

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospicio Luz CelesteCCN 401576 · All quality measures
Ownership
Other
Certified
Sep 27, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Yolian Rivera Individual 5% Or Greater Direct Ownership InterestOwner Aug 27, 2018 50%
Operational/Managerial ControlAdministrator Jun 30, 2025
Miguel a Pagan Individual 5% Or Greater Indirect Ownership InterestOwner Aug 27, 2018 50%
Operational/Managerial ControlMedical Director Jun 30, 2025

Owners & managing parties with NPI records 2

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

  • Miguel A Pagan, M.D.
    • General Practice Physician
    • Caguas, PR
    • NPI 1891942330

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Yolian Rivera, MD
    • General Practice Physician
    • Caguas, PR
    • NPI 1275588451

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 2

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1659732618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8427",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-249-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN H17A",
            "address_2": "VILLA DEL CARMEN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256158",
            "telephone_number": "787-249-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICIO LUZ CELESTE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "YOLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-249-3433",
        "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": [
        {
            "organization_name": "Hospicio Luz Celeste L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.