NPIMap

Organization Active NPI

Servicios de Salud Primarios de Barceloneta, Inc.

Doing business as Atlantic medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barceloneta, PR
National Provider Identifier
1972509842
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
00079 Issued in PR
Legal business name
SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC.
Doing business as
Atlantic medical Center, Inc.
Practice address
Highway No. 2, Cruce Davila, KM. 57.8
Barceloneta, PR 00617
Phone
(787) 846-4412
Fax
(787) 846-7410
NPI assigned
Jun 24, 2005
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Ms. Leida A. Nazario, MHSA
Title
Executive Director
Phone
(787) 846-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 00079 PR Primary

Addresses

Primary practice location

Highway No. 2, Cruce Davila, KM. 57.8
Barceloneta, PR 00617

Mailing address

PO Box 2045
Barceloneta, PR 00617-2045
Phone (787) 846-4412

Other names 1

  • Atlantic medical Center, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000723 PR Part B Supplier - Clinic/Group Practice 6608855481 Receives reassigned benefits from 21 practitioners
Practice locations: Barceloneta, PR

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Barceloneta Primary Health Services Inc Clinic Salud Conductual13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1972509842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172045",
            "telephone_number": "787-846-4412",
            "fax_number": "787-846-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY NO. 2, CRUCE DAVILA, KM. 57.8",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-846-4412",
            "fax_number": "787-846-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "NAZARIO",
        "authorized_official_first_name": "LEIDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-846-4412",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PR",
            "license": "00079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic medical Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.