NPIMap

Organization Active NPI

Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Ponce, PR
National Provider Identifier
1912632233
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC
Practice address
917 Ave Tito Castro
Hospital Episcopal San Lucas
Ponce, PR 00716-4717
Phone
(787) 843-4185
Fax
(787) 843-5622
NPI assigned
Jul 20, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Isuanet Castillo Medina, CPA
Title
Directora Ejecutiva Operacional
Phone
(787) 843-4185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

917 Ave Tito Castro
Hospital Episcopal San Lucas
Ponce, PR 00716-4717

Mailing address

PO Box 7064
Ponce, PR 00732-7064
Phone (787) 843-4185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220929001425 PR DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 3678957461 Practice locations: Ponce, PR

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1912632233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7064",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327064",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "address_2": "HOSPITAL EPISCOPAL SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO MEDINA",
        "authorized_official_first_name": "ISUANET",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA OPERACIONAL",
        "authorized_official_telephone_number": "787-843-4185",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.