NPIMap

Organization Active NPI

Costa Salud Community Health Center

  • Clinic Pharmacy
  • Rincon, PR
National Provider Identifier
1093743023
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
07-F-0059 Issued in PR
Legal business name
COSTA SALUD COMMUNITY HEALTH CENTER
Practice address
Munoz Rivera Street #28
Rincon, PR 00677-0638
Phone
(787) 823-5555
Fax
(787) 823-2390
NPI assigned
Jun 29, 2006
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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) 823-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 07-F-0059 PR Primary

Addresses

Primary practice location

Munoz Rivera Street #28
Rincon, PR 00677-0638

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
4020880OtherPRNAPP

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1093743023",
    "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": "787-823-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA STREET #28",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006770638",
            "telephone_number": "787-823-5555",
            "fax_number": "787-823-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA SALUD COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "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": "787-823-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PR",
            "license": "07-F-0059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPP",
            "identifier": "4020880",
            "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 Aug 12, 2024; 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.