Salud Integral En la Montana, Inc

Organization Active NPI Home Health Agency · Naranjito, PR

NPI 1659314664 · NPPES record last updated Feb 16, 2023

Key facts

NPI
1659314664
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
7 (PR)
Legal business name
SALUD INTEGRAL EN LA MONTANA, INC
Practice address
Carr 164, KM 0.2, Sector El Desvio
Bo Achiote
Naranjito, PR 00719-0515
Phone
(787) 857-5800
Fax
(787) 857-4483
NPI assigned
Jun 14, 2006
Organization subpart
Yes
Parent organization (as reported)
SALUD INTEGRAL EN LA MONTANA, INC

Authorized official

Name
Dr. Gloria Amador
Title
President & Ceo
Phone
(787) 869-5900

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 24

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

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 64

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Home health agency

Listed as
Salud Integral En la Montana Inc CCN 407008
Overall star rating
★★☆☆☆ 2 of 5
Ownership
Non-Profit
Certified
Jan 19, 2007
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Home health agency certification: CCN 407008

Legal name
SALUD INTEGRAL EN LA MONTANA INC
Doing business as
SALUD EN EL HOGAR LA MONTANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 19, 2007
Last certification
May 2, 2019
Ownership / control type
Non-Profit
Organization structure
Corporation · Non-profit
Incorporated
Sep 1, 1974 in PR
Enrollment address
Carr 164, KM 0.2, Sector El Desvio
Bo Achiote
Naranjto, PR 00719

All disclosed owners & managing parties 16

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 Director Jan 25, 2006
Gisela Gonzalez Coraliz
Individual
Corporate Officer
Credentialing Officer
Mar 15, 2022
W-2 Managing Employee
Credentialing Officer
Mar 15, 2022
Carmen B Fuentes Albino
Individual
Corporate Director
Board Vice President
Jan 1, 2021
Victor E Rivera Cruz
Individual
Corporate Director
Board Treasurer
Jan 1, 2022
Irma I Negron Melendez
Individual
Corporate Officer
Credentialing Officer
Jul 1, 2021
W-2 Managing Employee
Credentialing Officer
Jul 1, 2021
Elibel Ortiz Berrios
Individual
Corporate Director
Board Secretary
Jan 1, 2022
Maria Rios
Individual
Corporate Director Jul 27, 2005
Florentino Aviles Rosario
Individual
Corporate Director
Board Member
Jan 1, 2022
Maritza Orona Alvarado
Individual
Corporate Director
Comptroller
Jan 9, 2021
W-2 Managing Employee
Comptroller
Jan 9, 2021
Emanuel Garcia Rodriguez
Individual
Corporate Director
Board Member
Jan 1, 2022
Angel Vega Rosado
Individual
Corporate Officer
VP Principal Oficial Financiero
Jul 1, 2020
W-2 Managing Employee
VP Principal Oficial Financiero
Jul 1, 2020
Felix Ortiz
Individual
Corporate Director
Administrative Associate Director
Dec 1, 2017
W-2 Managing Employee
Administrative Associate Director
Dec 1, 2017
Rosa Marrero Ramos
Individual
Corporate Director
Board Member
Jan 23, 2022
Carmen G Hernandez Diaz
Individual
Corporate Director
Board Member
Jan 23, 2022
Gloria del C Amador Fernandez
Individual
Corporate Officer
President & Ceo
Dec 12, 2013
Operational/Managerial Control
President & Ceo
Dec 13, 2013
Maribel Concepcion Melendez
Individual
Corporate Director Jul 27, 2005

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050204000797 PR Part a Provider - Home Health Agency 8527972827 Practice locations: Naranjto, PR

National Provider Directory

Tax ID family
Evelyn Cintron Marzan (67 organizations share this tax ID)
Part of
Evelyn Cintron Marzan

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7 PR Yes

Addresses

Primary practice location

Carr 164, KM 0.2, Sector El Desvio
Bo Achiote
Naranjito, PR 00719-0515

Mailing address

PO Box 515
Naranjito, PR 00719-0515
Phone (787) 857-5800

Other providers in Naranjito, PR

All providers in Naranjito, PR · Home Health Agency in Puerto Rico

Sources for this page

Verify at the official NPI Registry.