NPIMap

Organization Active NPI

Hospicio del Oeste, Inc.

  • Community Based Hospice Care Agency
  • San German, PR
National Provider Identifier
1760437206
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICIO DEL OESTE, INC.
Practice address
Carr. #2 KM 170.9
San German, PR 00683-9732
Phone
(787) 892-1820
Fax
(787) 264-3440
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Anibal Gonzalez
Title
President
Phone
(787) 892-1820

Specialties & licenses 1

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

Addresses

Primary practice location

Carr. #2 KM 170.9
San German, PR 00683-9732

Mailing address

227 Calle Obispado
Bo. Miradero
Mayaguez, PR 00682-7702
Phone (787) 892-1820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000502 PR Part A Provider - Hospice 1759532716 Practice locations: Anasco, PR; Ponce, PR; San German, PR; San Juan, PR

Hospice certification: CCN 401520

Legal name
HOSPICIO DEL OESTE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 10, 1992
Last certification
Jan 27, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 6, 1994 in PR
Enrollment address
Carr #2 KM 170.9
San German, PR 00683-4074

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospicio del Oeste IncCCN 401520
Ownership
For-Profit
Certified
Nov 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1723 Paseo La Colonia
Ponce, PR 00717
Phone (787) 840-1820

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
Ivette M Deltoro Rodriguez Individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 50%
Corporate DirectorBoard Memeber - President Jun 1, 1992 50%
Anibal Gonzalez Individual Corporate OfficerExecutive Director - Emeritus Jun 1, 1992
Corporate DirectorBoard Memeber - Secretary Jun 1, 1992
Steven Gonzalez Individual 5% Or Greater Direct Ownership InterestManagerial Jan 1, 2010 25%
Corporate DirectorBoard Memeber - Treasurer May 2, 2005 25%
Cindy Gonzalez Individual 5% Or Greater Direct Ownership InterestManagerial Jan 1, 2010 25%
Corporate DirectorBoard Member Jan 1, 2010 25%
W-2 Managing Employee May 2, 2005 25%
Amelia Velazquez Individual W-2 Managing EmployeeAdministrator Aug 1, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760437206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CALLE OBISPADO",
            "address_2": "BO. MIRADERO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827702",
            "telephone_number": "787-892-1820",
            "fax_number": "787-264-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM 170.9",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839732",
            "telephone_number": "787-892-1820",
            "fax_number": "787-264-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICIO DEL OESTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-1820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.