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Monday, June 30, 2025 6/30/2025

Medicare entitlement for Puerto Rico - FY 2019

Award Number: 1905RQ5000
ORGANIZATION: CENTERS FOR MEDICARE & MEDICAID SERVICES, SURVEY AND CERTIFICATION GROUP
OPDIV: CMS
AWARD CLASS: OPEN-ENDED
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 10/01/2018
PERIOD OF PERFORMANCE END DATE: 09/30/2019

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Medicare entitlement for Puerto Rico - FY 2019


	Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

	Issue Date FY: 2021 ( Subtotal = -$190,757 )
	2021	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	8	1	11/2/2020	SUPPLEMENT FOR EXPANSION	-$190,870
	2021	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	9	1	7/12/2021	SUPPLEMENT FOR EXPANSION	$113
															Subtotal = -$190,757

	Issue Date FY: 2019 ( Subtotal = $481,926 )
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	7	1	7/26/2019	SUPPLEMENT FOR EXPANSION	$2,296
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	1	1	11/2/2018	NEW	$38,972
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	3	1	1/14/2019	SUPPLEMENT FOR EXPANSION	$120,142
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	6	1	7/15/2019	SUPPLEMENT FOR EXPANSION	$119,715
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	4	1	4/4/2019	SUPPLEMENT FOR EXPANSION	$119,715
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	0	1	10/5/2018	NEW	$38,972
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	5	1	5/29/2019	SUPPLEMENT FOR EXPANSION	$3,142
	2019	2019	Health, Department of	Old Psychtrc Hospital Bdlg	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	2	1	12/4/2018	SUPPLEMENT FOR EXPANSION	$38,972
															Subtotal = $481,926

	Grand Total All Awards = $291,169

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