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Thursday, July 3, 2025 7/3/2025

Medicare entitlement for Puerto Rico - FY 2022

Award Number: 2205RQ5000
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: 10/01/2021
PERIOD OF PERFORMANCE END DATE: 09/30/2022

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Medicare entitlement for Puerto Rico - FY 2022


	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: 2023 ( Subtotal = -$42,739 )
	2023	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	7	1	5/4/2023	SUPPLEMENT FOR EXPANSION	-$42,739
															Subtotal = -$42,739

	Issue Date FY: 2022 ( Subtotal = $476,536 )
	2022	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	1	1	12/22/2021	NEW	$99,548
	2022	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	4	1	4/4/2022	NEW	$44,747
	2022	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	6	1	7/7/2022	SUPPLEMENT FOR EXPANSION	$119,134
	2022	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	0	1	10/13/2021	NEW	$83,537
	2022	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	2	1	3/8/2022	NEW	$27,401
	2022	2022	Puerto Rico Department of Health	EDIFICIO A, ANTIGUO HOSPITAL PSIQUISTRIA BO. MONACILLOS	San Juan	PR	00909	SAN JUAN	USA	State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare	5	1	4/21/2022	SUPPLEMENT FOR EXPANSION	$102,169
															Subtotal = $476,536

	Grand Total All Awards = $433,797

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