Costa Salud Community Health Centers, Inc.
Organization Active NPI Clinical Medical Laboratory · Rincon, PR
NPI 1700813938 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1700813938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 97 (PR)
- Legal business name
- COSTA SALUD COMMUNITY HEALTH CENTERS, INC.
- Practice address
- 28 Calle Munoz Rivera W
Rincon, PR 00677-2127 - Phone
- (787) 823-5555
- Fax
- (787) 823-2390
- NPI assigned
- Jun 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Laura M Quinones Torres
- Title
- Executive Director
- Phone
- (787) 823-5555
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 12
Practitioners 21
-
Jose M Canabal Enriquez, M.D.
-
Michelle Fuentes, MD
-
Rafael Matos, M.D.
-
Zuleyka Mendez, MD
-
Valerie Toro, PSYD.
-
Isamar Caro Cortes, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040927000712 | PR | Part B Supplier - Clinic/Group Practice | 1951370022 |
Receives reassigned benefits from 42 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aguada, PR; Moca, PR; Rincon, PR |
| O20120726000492 | PR | Part B Supplier - Independent Clinical Laboratory | 1951370022 |
1 other NPI on this enrollment Practice locations: Moca, PR; Rincon, PR |
National Provider Directory
- Tax ID family
- Costa Salud CHC Radiology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 97 | PR | Yes |
Addresses
Primary practice location
28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Mailing address
PO Box 638
Rincon, PR 00677-0638
Phone (787) 823-5555
Other providers in Rincon, PR
- Costa Salud CHC Radiology
- Costa Salud Community Health Center
- Costa Salud Community Health Center, Inc
- Costa Salud Community Health Center, Inc
- Costa Salud Community Health Center, Inc
- Costa Salud Community Health Centers, Inc.
- Ana Olga Cruz
- Angel Nieves Cruz
- Esteven De Jesus
- Rosaida Delgado
All providers in Rincon, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.