Centro de Salud de Lares Inc

A Medicare group practice based in Quebradillas, PR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0840272985), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840272985The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
PR
Enrollments
6
Group size
32 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040603000147 PR Part B Supplier - Clinic/Group Practice 1417907502
O20040708000783 PR Part B Supplier - Independent Clinical Laboratory 1639326937
O20080110000143 PR Part B Supplier - Independent Clinical Laboratory 1750589982
O20050411001067 PR Part B Supplier - Clinic/Group Practice 1235179532
O20141118000145 PR Part A Provider - Federally Qualified Health Center (FQHC) 1417907502
O20141118000403 PR Part A Provider - Federally Qualified Health Center (FQHC) 1235179532

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 51

Clinicians who reassign their Medicare benefits to this group (41) or whom Care Compare lists as members (32).

Sources for this page