Organization Active NPI

Costa Salud CHC ER Rincon

  • Urgent Care Clinic/Center
  • Rincon, PR
National Provider Identifier
1083922678
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COSTA SALUD CHC ER RINCON
Practice address
Calle Munoz Rivera 28
Rincon, PR 00677
Phone
(787) 823-5555
Fax
(787) 823-2990
NPI assigned
Sep 17, 2010
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COSTA SALUD CHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Mrs. Susana M Perez
Title
Executive Director
Phone
(787) 823-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

Calle Munoz Rivera 28
Rincon, PR 00677

Mailing address

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

National Provider Directory

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

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1083922678",
    "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": "CALLE MUNOZ RIVERA 28",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-823-5555",
            "fax_number": "787-823-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA SALUD CHC ER RINCON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTA SALUD CHC",
        "enumeration_date": "2010-09-17",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-823-0440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2018; 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.