NPIMap

Organization Active NPI

Morovis Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Vega Alta, PR
National Provider Identifier
1831707546
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOROVIS COMMUNITY HEALTH CENTER INC
Practice address
Bo. Espinosa
Carr 2 KM 30.2
Vega Alta, PR 00692
Phone
(939) 915-9090
Fax
(787) 862-2731
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Lirio Antonia Diaz
Title
Executive Assistant
Phone
(787) 862-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

Bo. Espinosa
Carr 2 KM 30.2
Vega Alta, PR 00692

Mailing address

PO Box 518
Morovis, PR 00687-0518
Phone (787) 862-3000

Other names 1

  • MCHC-330 Vega Alta Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050303000840 PR Part B Supplier - Clinic/Group Practice 0648224501 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morovis, PR; Toa Baja, PR; Vega Alta, PR
O20210222000346 PR Part A Provider - Federally Qualified Health Center (FQHC) 0648224501 Practice locations: Vega Alta, PR

Federally qualified health center certification: CCN 401003

Legal name
MOROVIS COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 22, 2021
Last certification
Feb 22, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 12, 1991 in PR
Enrollment address
460 Carr 2
Barrio Espinoza
Vega Alta, PR 6926087

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Morovis Community HLTH15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Virgen Torres Perez Individual Corporate OfficerExecutive Director May 1, 2023
Corporate DirectorExecutive Director Jan 1, 2022
Operational/Managerial Control May 1, 2023
Edwin Pagan Santos Individual Corporate DirectorVice President May 1, 2016
Brenda Adorno Vega Individual Contracted Managing EmployeeHuman Resources Director Nov 1, 1999
W-2 Managing EmployeeHuman Resources Director May 1, 2023
Eliam Vazquez Ojeda Individual W-2 Managing EmployeeAdministrative Secretary Jan 1, 2021
William Torres Narvaez Individual Corporate DirectorSecretario May 1, 2014

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1831707546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870518",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ESPINOSA",
            "address_2": "CARR 2 KM 30.2",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "939-915-9090",
            "fax_number": "787-862-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROVIS COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LIRIO",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "787-862-3000"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCHC-330 Vega Alta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.