NPIMap

Organization Active NPI

Centro de Salud de Lares, Inc

Doing business as Ciss Unidad Movil Mammogram

  • Mobile Mammography Clinic/Center
  • Quebradillas, PR
National Provider Identifier
1952003378
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X
Legal business name
CENTRO DE SALUD DE LARES, INC
Doing business as
Ciss Unidad Movil Mammogram
Practice address
Calle Rafols Esquina del Carmen
Quebradillas, PR 00678
Phone
(897) 897-2727
Fax
(787) 897-2725
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Damaris Rodriguez
Title
Executive Director
Phone
(787) 897-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Mammography Clinic/Center 261QR0207X Primary

Addresses

Primary practice location

Calle Rafols Esquina del Carmen
Quebradillas, PR 00678

Mailing address

PO Box 379
Lares, PR 00669-0379
Phone (787) 897-2727

Other practice location 1

Carretera 111 KM 1.9
Larres, PR 00669
Phone (787) 897-2727

Other names 1

  • CISS UNIDAD MOVIL MAMMOGRAM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lab CDT Quebradillas23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1952003378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690379",
            "telephone_number": "787-897-2727",
            "fax_number": "787-897-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RAFOLS ESQUINA DEL CARMEN",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "897-897-2727",
            "fax_number": "787-897-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARRETERA 111 KM 1.9",
            "address_purpose": "LOCATION",
            "city": "LARRES",
            "state": "PR",
            "postal_code": "00669",
            "country_code": "US",
            "telephone_number": "787-897-2727",
            "fax_number": "787-897-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO DE SALUD DE LARES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-897-2727"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CISS UNIDAD MOVIL MAMMOGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.