COSTA SALUD COMMUNITY HEALTH CENTER, INC (NPI# 1639583743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639583743 |
| Entity Type | Organization |
| Organization Name | COSTA SALUD COMMUNITY HEALTH CENTER, INC |
| Practice Address |
28 Calle Munoz Rivera W Rincon PR 00677-2127 |
| Mailing Address |
Po Box 638 Rincon PR 00677-0638 |
| Practice Telephone | 7878235555 |
| Practice Fax Number | 7878232990 |
| Mailing Telephone | 7878235555 |
| Mailing Fax Number | 7878232990 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MRS. SUSANA M PEREZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7878235555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
57 | PR | Ambulatory Health Care Facilities |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
57 | PR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518365584 | Costa Salud Community Health Center, Inc | Clinic/Center | Calle Munoz Rivera #28, Rincon, PR 00677 | 2014-12-08 |
| 1679970479 | Costa Salud Community Health Center, Inc | Clinic/Center | Calle Munoz Rivea #28, Rincon, PR 00677 | 2014-11-24 |
| Street Address |
28 CALLE MUNOZ RIVERA W |
| City | RINCON |
| State | PR |
| Zip Code | 00677-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508961558 | Edgar Antonio Rodriguez Nazario | Family Medicine | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2006-09-14 |
| 1174149843 | Coralis Naomi Gonzalez | Social Worker | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2020-06-18 |
| 1912530270 | Richard Anthony Lopez-soto | Pharmacist | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2020-02-14 |
| 1013400373 | Gisel Ivette Mendez-cordero | Student in an Organized Health Care Education/Training Program | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2018-06-12 |
| 1295149045 | Omayra Serrano Perez | Social Worker | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2014-06-19 |
| 1063715472 | Costa Salud Chc Radiology | Clinic/Center | 28 Calle Munoz Rivera W, Rincon, PR 00677 | 2010-12-08 |
| 1043361611 | Maria A. Ortiz | Pediatrics | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2007-01-12 |
| 1881791291 | Irma Nydia Rivera Silva | Internal Medicine | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2006-09-20 |
| 1942305909 | Angelina Dominguez Suarez | General Practice | 28 Calle Munoz Rivera W, Rincon, PR 00677-2127 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172385 | Lynn Marie Perez Marty | Student in an Organized Health Care Education/Training Program | Cond. Stella Royal #104, Rincon, PR 00677 | 2020-04-10 |
| 1093348773 | Farmacia Rincon | Pharmacy | Calle Munoz Rivera #1 Oeste, Rincon, PR 00677 | 2020-02-20 |
| 1639700487 | Vanessa Giselle Pozzi Lorenzo | Pharmacist | Munoz Rivera #oeste Local A, Rincon, PR 00677 | 2020-01-30 |
| 1952941411 | Emybelle Rodriguez | Pharmacist | Rd 115 Km 11.3, Rincon, PR 00677 | 2020-01-13 |
| 1164974176 | Luis Orraca | Dentist | 35 Munoz Rivera, Rincon, PR 00677 | 2016-10-26 |
| 1144681933 | Department of Health | Clinic/Center | State Road 155 Km 13, Bo Pueblo, Rincon, PR 00677 | 2016-03-08 |
| 1104292374 | Melissa B Torres | Specialist/Technologist | Carr. 115 K.m. 9.3 Int., Barrero, Rincon, PR 00677 | 2015-08-11 |
| 1679967301 | Laboratorio Clinico Cdt De Rincon | Clinical Medical Laboratory | Carr. 115 Km 13.1, Barrio Pueblo, Rincon, PR 00677 | 2015-03-19 |
| 1083008700 | Caribbean Medical Corp. | Clinic/Center | Carretera 115 Km 13.1, Rincon, PR 00677 | 2015-03-19 |
| 1518365584 | Costa Salud Community Health Center, Inc | Clinic/Center | Calle Munoz Rivera #28, Rincon, PR 00677 | 2014-12-08 |
| Find all providers in zip 00677 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912997768 | Costa Salud Community Health Centers, Inc. | Clinic/Center | Calle Munoz Rivera, Rincon, PR 00677 | 2005-10-24 |
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| 1548807951 | Costa Salud Community Health Centers, Inc | Clinic/Center | 124 Calazan Lasalle, Moca, PR 00676 | 2019-12-04 |
| 1811541360 | Macro Health Care, Inc | Clinic/Center | Calle Esteban Quintana Carr 2, Guaynabo, PR 00966-0096 | 2019-08-01 |
| 1245747344 | Jorge E Perez-renta | Clinic/Center | 8169 Calle Concordia Edif San Vicente, Suite 412, Ponce, PR 00717 | 2018-01-10 |
| 1285156885 | Hpm Foundation Inc | Clinic/Center | 65 Infanteria 171, Vieques, PR 00765 | 2017-07-14 |
| 1457892044 | Morovis Community Health Center, Inc. | Clinic/Center | Pr-863 Km 1.0 Sector Pajaros, Bo Candelaria, Toa Baja, PR 00949 | 2017-03-15 |
| 1932557055 | Integrate Community Health System | Clinic/Center | Carr Pr 107 Km 6 Barrio Camaceye, Esq Ave Jardines De Aguadilla, Aguadilla, PR 00603 | 2016-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.