NPIMap

Organization Active NPI

Concilio de Salud Integral de Loiza, Inc.

  • Federally Qualified Health Center (FQHC)
  • Loiza, PR
National Provider Identifier
1558664102
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
19 Issued in PR
Legal business name
CONCILIO DE SALUD INTEGRAL DE LOIZA, INC.
Practice address
Carretera #187 Int.#188 Loiza, PR, 00772
Box 509, Loiza Station
Loiza, PR 00772-0509
Phone
(787) 876-2042
Fax
(787) 256-1900
NPI assigned
Dec 20, 2010
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCILIO DE SALUD INTEGRAL DE LOIZA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Mr. Giovanna Bermudez Rivera, MHSA
Title
Executive Director
Phone
(787) 876-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 19 PR Primary

Addresses

Primary practice location

Carretera #187 Int.#188 Loiza, PR, 00772
Box 509, Loiza Station
Loiza, PR 00772-0509

Mailing address

PO Box 509
Loiza, PR 00772-0509
Phone (787) 876-2042

Other practice location 1

673 Calle Escolastico Lopez
Ceiba, PR 00735-2834
Phone (787) 876-2042 ext. 801

Other practice location 2

Calle Pimentel Sector Las Flores
Cienaga Baja
Rio Grande, PR 00745
Phone (787) 876-2042 ext. 246

Other practice location 3

Carr 992 KM 6.9 Barrio Sabana
Luquillo, PR 00773
Phone (787) 876-2042 ext. 246

Other practice location 4

Carr PR 3, Km 44.8
Barrio Quebrada
Fajardo, PR 00738
Phone (787) 876-2042 ext. 246

Other names 4

  • Clinica Familiar de Ceiba Former legal business name
  • Clinica Familiar de Fajardo Former legal business name
  • Clinica Familiar de Luquillo Former legal business name
  • Clinica Familiar de Rio Grande Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000080 PR Part B Supplier - Clinic/Group Practice 6800990805 Receives reassigned benefits from 43 practitioners
Practice locations: Loiza, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Concilio Salud Int Loiza

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1558664102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007720509",
            "telephone_number": "787-876-2042",
            "fax_number": "787-256-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #187 INT.#188 LOIZA, PR, 00772",
            "address_2": "BOX 509, LOIZA STATION",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007720509",
            "telephone_number": "787-876-2042",
            "fax_number": "787-256-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "673 Calle Escolastico Lopez",
            "address_purpose": "LOCATION",
            "city": "Ceiba",
            "state": "PR",
            "postal_code": "007352834",
            "country_code": "US",
            "telephone_number": "787-876-2042 x801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Calle Pimentel Sector Las Flores",
            "address_2": "Cienaga Baja",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "00745",
            "country_code": "US",
            "telephone_number": "787-876-2042 x246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr 992 KM 6.9 Barrio Sabana",
            "address_purpose": "LOCATION",
            "city": "Luquillo",
            "state": "PR",
            "postal_code": "00773",
            "country_code": "US",
            "telephone_number": "787-876-2042 x246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr PR 3, Km 44.8",
            "address_2": "Barrio Quebrada",
            "address_purpose": "LOCATION",
            "city": "Fajardo",
            "state": "PR",
            "postal_code": "00738",
            "country_code": "US",
            "telephone_number": "787-876-2042 x246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCILIO DE SALUD INTEGRAL DE LOIZA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCILIO DE SALUD INTEGRAL DE LOIZA INC",
        "enumeration_date": "2010-12-20",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ RIVERA",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-876-2042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PR",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Familiar de Ceiba",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clinica Familiar de Ceiba",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clinica Familiar de Fajardo",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clinica Familiar de Luquillo",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clinica Familiar de Rio Grande",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Loiza, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.