NPIMap

Organization Active NPI

Centro de Servicios Primarios de Salud de Patillas Inc.

  • Health Service Clinic/Center
  • Salinas, PR
National Provider Identifier
1154070365
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.
Doing business as
Centro de Servicios Primarios de Salud de Patillas Inc.
Practice address
Calle Barbosa #14 Esq, Calle Diosdado
Comunidad El Coco Barrio Lapas
Salinas, PR 00751-0000
Phone
(787) 839-4320
Fax
(787) 271-0004
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mrs. Mildred Morel Morel, BBA
Title
Eexecutive Diretor
Phone
(787) 839-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

Calle Barbosa #14 Esq, Calle Diosdado
Comunidad El Coco Barrio Lapas
Salinas, PR 00751-0000

Mailing address

Calle Barbosa #14 Esq, Calle Diosdado
Comunidad El Coco Barrio Lapas
Salinas, PR 00751-0000
Phone (787) 839-4320

Other identifiers 1

IdentifierTypeStateIssuer
806524OtherPRIMMUNIZATION ID

Other names 1

  • Centro de Servicios Primarios de Salud de Patillas Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070718000259 PR Part B Supplier - Clinic/Group Practice 7012018211 Receives reassigned benefits from 40 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maunabo, PR; Santa Isabel, PR; Salinas, PR; Patillas, PR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Centro Servicios Primarios de Salud de Patillas Inc-Maunabo14 organizations share this tax ID, including this one
Part of
Centro Servicios Primarios de Salud de Patillas Inc-Maunabo

Other organizations with this tax ID 13

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

View all 13

Locations

45 Calle Munoz Rivera
Maunabo, PR 00707
Phone (787) 861-4320

32 Calle Ext Munoz Rivera
Santa Isabel, PR 00757
Phone (787) 845-4321

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1154070365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA #14 ESQ, CALLE DIOSDADO",
            "address_2": "COMUNIDAD EL COCO BARRIO LAPAS",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510000",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA #14 ESQ, CALLE DIOSDADO",
            "address_2": "COMUNIDAD EL COCO BARRIO LAPAS",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510000",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MOREL",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "MOREL",
        "authorized_official_title_or_position": "EEXECUTIVE DIRETOR",
        "authorized_official_telephone_number": "787-839-4320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZATION ID",
            "identifier": "806524",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Servicios Primarios de Salud de Patillas Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.