NPIMap

Organization Active NPI

Divina Presencia Hospice, Inc.

  • Community Based Hospice Care Agency
  • Rio Piedras, PR
National Provider Identifier
1740316447
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIVINA PRESENCIA HOSPICE, INC.
Practice address
876 Calle 27 SW
Esq. Americo Miranda, Urb. Las Lomas
Rio Piedras, PR 00921-2421
Phone
(787) 775-8000
Fax
(787) 775-8022
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
Dr. Norma Williams, M.D.NPI 1508985615
Title
Medical Director
Phone
(787) 775-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

876 Calle 27 SW
Esq. Americo Miranda, Urb. Las Lomas
Rio Piedras, PR 00921-2421

Mailing address

Divina Presencia Hospice, Inc.
PMB # 94 PO BX 70344
San Juan, PR 00936-0000
Phone (787) 775-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000242 PR Part A Provider - Hospice 0345396735 Practice locations: San Juan, PR

Hospice certification: CCN 401547

Legal name
DIVINA PRESENCIA HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 31, 1994
Last certification
Jan 28, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 2014 in PR
Enrollment address
876 Calle 27 So
Urb. Las Lomas, Esq. Americo Miranda
San Juan, PR 00921-2421

Care Compare: Hospice

Medicare Care Compare
Listed as
Divina Presencia Hospice IncCCN 401547
Ownership
For-Profit
Certified
Jan 31, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

215 Calle Font Martelo
Humacao, PR 00791
Phone (787) 852-9991

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Luz M Suarez Individual Corporate OfficerSecretary, Board of Directors Nov 23, 1995
Viviana Torres Individual W-2 Managing Employee May 13, 2015
Norma Williams Individual 5% Or Greater Direct Ownership Interest Nov 23, 1995 100%
Corporate DirectorCeo, Medical Director Nov 23, 1995 100%

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1740316447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DIVINA PRESENCIA HOSPICE, INC.",
            "address_2": "PMB # 94 PO BX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360000",
            "telephone_number": "787-775-8000",
            "fax_number": "787-775-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 CALLE 27 SW",
            "address_2": "ESQ. AMERICO MIRANDA, URB. LAS LOMAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009212421",
            "telephone_number": "787-775-8000",
            "fax_number": "787-775-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINA PRESENCIA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-775-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.