NPIMap

Centro de Salud de Lares, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Lares, PR

NPI 1104481852 · NPPES record last updated Mar 18, 2023

Key facts

NPI
1104481852
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CENTRO DE SALUD DE LARES, INC
Practice address
Carr 111 KM 1.9
Lares, PR 00669
Phone
(787) 897-2727
Fax
(787) 897-2725
NPI assigned
May 8, 2019
Organization subpart
Yes
Parent organization (as reported)
CENTRO DE SALUD DE LARES, INC

Authorized official

Name
Damaris Rodriguez
Title
Executive Director
Phone
(787) 897-2727

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Centro de Salud de Lares Inc (23 organizations share this tax ID)
Part of
Centro de Salud de Lares Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

Carr 111 KM 1.9
Lares, PR 00669

Mailing address

PO Box 379
Lares, PR 00669-0379
Phone (787) 897-2727

Other names

  • CENTRO SALUD DE LARES VACUNACION Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2023.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679097600000",
    "number": "1104481852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690379",
            "telephone_number": "787-897-2727",
            "fax_number": "787-897-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 1.9",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-2727",
            "fax_number": "787-897-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD DE LARES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SALUD DE LARES, INC",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-897-2727"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO SALUD DE LARES VACUNACION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRO SALUD DE LARES VACUNACION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lares, PR

All providers in Lares, PR · Federally Qualified Health Center (FQHC) in Puerto Rico

Sources for this page

Verify at the official NPI Registry.