NPIMap

Organization Active NPI

Salud Integral En la Montana, Inc

Doing business as Centro de Salud Integral En Bayamon

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
National Provider Identifier
1740772102
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SALUD INTEGRAL EN LA MONTANA, INC
Doing business as
Centro de Salud Integral En Bayamon
Practice address
Carr 167 KM 17.8
Bo. Pajaros Puertorriquenos
Bayamon, PR 00961
Phone
(787) 780-3435
Fax
(787) 780-3435
NPI assigned
Jun 1, 2018
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

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
Gloria Amador
Title
Executive Director
Phone
(787) 869-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

Carr 167 KM 17.8
Bo. Pajaros Puertorriquenos
Bayamon, PR 00961

Mailing address

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

Other names 1

  • CENTRO DE SALUD INTEGRAL EN BAYAMON Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040803000311 PR Part B Supplier - Clinic/Group Practice 8527972827 Receives reassigned benefits from 139 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bayamon, PR; Naranjito, PR
O20180917001697 PR Part A Provider - Federally Qualified Health Center (FQHC) 8527972827 3 other NPIs on this enrollment
Practice locations: Bayamon, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740772102. Details of each certification follow.

Federally qualified health center certification: CCN 401854

Legal name
SALUD INTEGRAL EN LA MONTANA INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 18, 2018
Last certification
Sep 18, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1974 in PR
Enrollment address
Carr 167 KM 17.8
Barrio Pajaros Puertorriquenos
Bayamon, PR 9610001

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Corp de Serv Integrales68 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

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 DirectorPresidente Junta de Directores Jan 1, 2021
Carmen B Fuentes Albino Individual Corporate DirectorVice-Presidenta Junta de Directores Jan 1, 2021
Victor E Rivera Cruz Individual Corporate DirectorTesorero Junta de Directores Jan 1, 2021
Elibel Ortiz Berrios Individual Corporate DirectorSecretaria Junta de Directores Jan 1, 2021
Maria Rios Individual Corporate DirectorMiembro Junta de Directores Jan 1, 2021
Florentino Aviles Rosario Individual Corporate DirectorMiembro Junta de Directores Jan 1, 2021
Emanuel Garcia Rodriguez Individual Corporate DirectorMiembro Junta de Directores Jan 1, 2021
Angel Vega Rosado Individual Corporate OfficerVP Principal Oficial Financiero Jul 1, 2020
W-2 Managing EmployeeVP Principal Oficial Financiero Jul 1, 2020
Felix Ortiz Individual Corporate DirectorAdministrative Associate Director Dec 1, 2017
W-2 Managing EmployeeAdministrative Associate Director Dec 1, 2017
Rosa Marrero Ramos Individual Corporate DirectorMiembro Junta de Directores Jan 23, 2022
Carmen G Hernandez Diaz Individual Corporate DirectorMiembro Junta de Directores Jan 23, 2022
Gloria del C Amador Fernandez Individual Corporate Director Mar 20, 2013
W-2 Managing Employee Mar 20, 2013
Maribel Concepcion Melendez Individual Corporate DirectorSubtesorera Junta de Directores Jan 1, 2021

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1740772102",
    "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 167 KM 17.8",
            "address_2": "BO. PAJAROS PUERTORRIQUENOS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-3435",
            "fax_number": "787-780-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD INTEGRAL EN LA MONTANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-869-5900"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DE SALUD INTEGRAL EN BAYAMON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.