NPIMap

Organization Active NPI

Salud Integral En la Montana, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corozal, PR
National Provider Identifier
1679025720
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SALUD INTEGRAL EN LA MONTANA, INC
Practice address
Carr 891 KM 15.1
Bo Pueblo
Corozal, PR 00783
Phone
(787) 859-2560
Fax
(787) 859-5390
NPI assigned
Oct 25, 2016
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SALUD INTEGRAL EN LA MONTANA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PR Primary

Addresses

Primary practice location

Carr 891 KM 15.1
Bo Pueblo
Corozal, PR 00783

Mailing address

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

Other names 1

  • Centro de Salud Integral en Corozal - Salud Mental Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160629000055 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: Corozal, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679025720. Details of each certification follow.

Federally qualified health center certification: CCN 401845

Legal name
SALUD INTEGRAL EN LA MONTANA INC
Doing business as
CENTRO DE SALUD INTEGRAL COROZAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2016
Last certification
Jul 1, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1974 in PR
Enrollment address
Carr 891 KM 15.1 Bo Pueblo
Corozal, PR 7832441

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 Salud Corozal68 organizations share this tax ID, including this one
Part of
Centro Salud Corozal

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

Ownership & related parties

All disclosed owners & managing parties 13

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 DirectorBoard President Jan 1, 2021
Carmen B Fuentes Albino Individual Corporate DirectorBoard Vice-President Jan 1, 2021
Victor E Rivera Cruz Individual Corporate DirectorBoard Treasurer Jan 1, 2021
Elibel Ortiz Berrios Individual Corporate DirectorBoard Secretary Jan 1, 2021
Maria Rios Individual Corporate DirectorBoard Member Jan 1, 2021
Florentino Aviles Rosario Individual Corporate DirectorBoard Member Jan 1, 2021
Emanuel Garcia Rodriguez Individual Corporate DirectorBoard Member Jan 1, 2021
Angel Vega Rosado Individual Corporate DirectorFinance Director Sep 16, 2013
W-2 Managing EmployeeFinance Director Sep 16, 2013
Felix Ortiz Individual Corporate DirectorAdmin. Assoc. Director Dec 1, 2017
W-2 Managing EmployeeAdmin. Assoc. Director Dec 1, 2017
Rosa Marrero Ramos Individual Corporate DirectorBoard Member Jan 23, 2022
Carmen G Hernandez Diaz Individual Corporate DirectorBoard Member Jan 23, 2022
Gloria del C Amador Fernandez Individual Corporate Director May 1, 2016
W-2 Managing Employee May 1, 2016
Maribel Concepcion Melendez Individual Corporate DirectorBoard Sub-Treasurer Jan 1, 2021

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1679025720",
    "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 891 KM 15.1",
            "address_2": "BO PUEBLO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-859-2560",
            "fax_number": "787-859-5390"
        }
    ],
    "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": "2016-10-25",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Salud Integral en Corozal - Salud Mental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.