NPIMap

Organization Active NPI

Concilio de Salud Integral de Loiza Inc

  • Federally Qualified Health Center (FQHC)
  • Ceiba, PR
National Provider Identifier
1750990545
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CONCILIO DE SALUD INTEGRAL DE LOIZA INC
Practice address
673 Calle Escolastico Lopez
Ceiba, PR 00735-2834
Phone
(787) 936-2006
Fax
(787) 256-1900
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCILIO DE SALUD INTEGRAL DE LOIZA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Cesar A Rodriguez Roman, MHSA
Title
Director Ejecutivo
Phone
(787) 876-2042

Specialties & licenses 1

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

Addresses

Primary practice location

673 Calle Escolastico Lopez
Ceiba, PR 00735-2834

Mailing address

PO Box 509
Loiza, PR 00772-0509
Phone (787) 876-2042

Other names 1

  • Clinica Familiar de Ceiba Other name

National Provider Directory

National Provider Directory
Tax ID family
Concilio Salud Int Loiza6 organizations share this tax ID, including this one
Part of
Concilio Salud Int Loiza

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1750990545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007720509",
            "telephone_number": "787-876-2042",
            "fax_number": "787-256-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 CALLE ESCOLASTICO LOPEZ",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352834",
            "telephone_number": "787-936-2006",
            "fax_number": "787-256-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCILIO DE SALUD INTEGRAL DE LOIZA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCILIO DE SALUD INTEGRAL DE LOIZA INC",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ ROMAN",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR EJECUTIVO",
        "authorized_official_telephone_number": "787-876-2042",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Familiar de Ceiba",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ceiba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.