Salud Integral En la Montana, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bayamon, PR
NPI 1740772102 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1740772102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SALUD INTEGRAL EN LA MONTANA, INC
- 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
- Organization subpart
- No
Authorized official
- Name
- Gloria Amador
- Title
- Executive Director
- Phone
- (787) 869-5900
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 22
Practitioners 84
-
Jehisa Contreras, MD
-
Jose Luis Gonzalez, M.D.
-
Diana Irizarry, M.D.
-
Dilaury Mejia Berrios, M.D.
-
Fernando Rivera, M.D.
-
Betty Rodriguez, M.D.
-
Magaly Santiago, MD
-
Jaffet M. Seda Rodriguez, M.D.
-
Alexis Villalobos, M.D.
-
Julio Manuel Baez Suarez, M.D.
-
Wilma E Cedeno, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR
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
- Corporation · Non-profit
- Incorporated
- Oct 18, 1974 in PR
- Enrollment address
- Carr 167 KM 17.8
Barrio Pajaros Puertorriquenos
Bayamon, PR 9610001
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Ignacio R Febus Ortiz |
Corporate Director |
Jan 1, 2021 | |
| Carmen B Fuentes Albino |
Corporate Director |
Jan 1, 2021 | |
| Victor E Rivera Cruz |
Corporate Director |
Jan 1, 2021 | |
| Elibel Ortiz Berrios |
Corporate Director |
Jan 1, 2021 | |
| Maria Rios |
Corporate Director |
Jan 1, 2021 | |
| Florentino Aviles Rosario |
Corporate Director |
Jan 1, 2021 | |
| Emanuel Garcia Rodriguez |
Corporate Director |
Jan 1, 2021 | |
| Angel Vega Rosado |
Corporate Officer |
Jul 1, 2020 | |
| W-2 Managing Employee |
Jul 1, 2020 | ||
| Felix Ortiz |
Corporate Director |
Dec 1, 2017 | |
| W-2 Managing Employee |
Dec 1, 2017 | ||
| Rosa Marrero Ramos |
Corporate Director |
Jan 23, 2022 | |
| Carmen G Hernandez Diaz |
Corporate Director |
Jan 23, 2022 | |
| Gloria del C Amador Fernandez |
Corporate Director | Mar 20, 2013 | |
| W-2 Managing Employee | Mar 20, 2013 | ||
| Maribel Concepcion Melendez |
Corporate Director |
Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Evelyn Cintron Marzan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| 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
- CENTRO DE SALUD INTEGRAL EN BAYAMON
Other providers in Bayamon, PR
- Annette Saldana
- Maria Teresa Salgado Castillo
- Eumari Salicrup-Zayas
- Salud Integral En la Montana, Inc
- Salud Integral En la Montana, Inc
- Salud Integral En la Montana, Inc
- Salud Integral En la Montana, Inc
- Salud Integral En la Montana, Inc.
- Salud Integral En la Montana, Inc.
- Salud Integral En la Montana, Inc.
All providers in Bayamon, PR · Federally Qualified Health Center (FQHC) 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 Jul 9, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.