NPIMap

Organization Active NPI

Centro Servicios Primarios de Salud de Patillas Inc.-Maunabo

  • Federally Qualified Health Center (FQHC)
  • Maunabo, PR
National Provider Identifier
1679981047
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.-MAUNABO
Practice address
45 Calle Munoz Rivera
Maunabo, PR 00707-2146
Phone
(787) 861-4320
Fax
(787) 861-4443
NPI assigned
Jul 29, 2014
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Mrs. Carmen M Figueroa
Title
Administrator
Phone
(787) 861-4320

Specialties & licenses 1

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

Addresses

Primary practice location

45 Calle Munoz Rivera
Maunabo, PR 00707-2146

Mailing address

45 Munoz Rivera Stret
Maunabo, PR 00707-0000

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1679981047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MUNOZ RIVERA STRET",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007070000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CALLE MUNOZ RIVERA",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072146",
            "telephone_number": "787-861-4320",
            "fax_number": "787-861-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.-MAUNABO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-861-4320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maunabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.