NPIMap

Organization Active NPI

Costa Salud CHC Radiology

  • Radiology Clinic/Center
  • Rincon, PR
National Provider Identifier
1063715472
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
56 Issued in PR
Legal business name
COSTA SALUD CHC RADIOLOGY
Practice address
28 Calle Munoz Rivera W
Rincon, PR 00677
Phone
(787) 823-5555
Fax
(787) 823-2990
NPI assigned
Dec 8, 2010
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Laura M Quinones
Title
Executive Director
Phone
(787) 823-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 56 PR Primary

Addresses

Primary practice location

28 Calle Munoz Rivera W
Rincon, PR 00677

Mailing address

PO Box 638
Rincon, PR 00677-0638
Phone (787) 823-5555

Other identifiers 1

IdentifierTypeStateIssuer
0010116OtherPRPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Costa Salud Community Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1063715472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006770638",
            "telephone_number": "787-823-5555",
            "fax_number": "787-823-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE MUNOZ RIVERA W",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-823-5555",
            "fax_number": "787-823-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA SALUD CHC RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-823-5500"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "56",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0010116",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.