NPIMap

Organization Active NPI

Salud Integral En la Montana, Inc

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1508348376
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SALUD INTEGRAL EN LA MONTANA, INC
Practice address
Carr 167 KM 17.8
Barrio Pajaros Puertorriquenos
Bayamon, PR 00961
Phone
(787) 780-3435
Fax
(787) 869-6120
NPI assigned
Aug 29, 2018
Organization subpart
Yes
Parent organization
SALUD INTEGRAL EN LA MONTANA, INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Gloria Del C. Amador Fernandez
Title
Executive Director
Phone
(787) 869-5900

Other NPIs on the same Medicare enrollment 3

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180917001697 PR Part A Provider - Federally Qualified Health Center (FQHC) 8527972827 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bayamon, PR

Federally qualified health center certification: CCN 401854

Legal name
SALUD INTEGRAL EN LA MONTANA INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 18, 2018
Last certification
Sep 18, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1974 in PR
Enrollment address
Carr 167 KM 17.8
Barrio Pajaros Puertorriquenos
Bayamon, PR 9610001

All disclosed owners & managing parties 13

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ignacio R Febus Ortiz Individual Corporate DirectorPresidente Junta de Directores Jan 1, 2021
Carmen B Fuentes Albino Individual Corporate DirectorVice-Presidenta Junta de Directores Jan 1, 2021
Victor E Rivera Cruz Individual Corporate DirectorTesorero Junta de Directores Jan 1, 2021
Elibel Ortiz Berrios Individual Corporate DirectorSecretaria Junta de Directores Jan 1, 2021
Maria Rios Individual Corporate DirectorMiembro Junta de Directores Jan 1, 2021
Florentino Aviles Rosario Individual Corporate DirectorMiembro Junta de Directores Jan 1, 2021
Emanuel Garcia Rodriguez Individual Corporate DirectorMiembro Junta de Directores Jan 1, 2021
Angel Vega Rosado Individual Corporate OfficerVP Principal Oficial Financiero Jul 1, 2020
W-2 Managing EmployeeVP Principal Oficial Financiero Jul 1, 2020
Felix Ortiz Individual Corporate DirectorAdministrative Associate Director Dec 1, 2017
W-2 Managing EmployeeAdministrative Associate Director Dec 1, 2017
Rosa Marrero Ramos Individual Corporate DirectorMiembro Junta de Directores Jan 23, 2022
Carmen G Hernandez Diaz Individual Corporate DirectorMiembro Junta de Directores Jan 23, 2022
Gloria del C Amador Fernandez Individual Corporate Director Mar 20, 2013
W-2 Managing Employee Mar 20, 2013
Maribel Concepcion Melendez Individual Corporate DirectorSubtesorera Junta de Directores Jan 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Evelyn Cintron Marzan67 organizations share this tax ID, including this one
Part of
Evelyn Cintron Marzan

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr 167 KM 17.8
Barrio Pajaros Puertorriquenos
Bayamon, PR 00961

Mailing address

PO Box 515
Naranjito, PR 00719-0515
Phone (787) 869-5900

Other names 1

NPPES NPI Registry
  • Centro de Salud Integral en Bayamon - Centro Vacunacion Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2026.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1508348376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190515",
            "telephone_number": "787-869-5900",
            "fax_number": "787-869-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 KM 17.8",
            "address_2": "BARRIO PAJAROS PUERTORRIQUENOS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-3435",
            "fax_number": "787-869-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD INTEGRAL EN LA MONTANA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALUD INTEGRAL EN LA MONTANA, INC",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "AMADOR FERNANDEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "DEL C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-869-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Salud Integral en Bayamon - Centro Vacunacion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.