| Centro De Salud De Lares, Inc. | |
|
Road 111 Km 1.9 Los Patriotas Ave. Lares PR 00669-0379 | |
| (787) 897-2727 | |
| (787) 897-2725 |
| Full Name | Centro De Salud De Lares, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Road 111 Km 1.9, Lares, Puerto Rico |
| Authorized Official Name and Position | Damaris Rodriguez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878972727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud De Lares, Inc. Po Box 379 Lares PR 00669-0379 Ph: (787) 897-2727 | Centro De Salud De Lares, Inc. Road 111 Km 1.9 Los Patriotas Ave. Lares PR 00669-0379 Ph: (787) 897-2727 |
| NPI Number | 1417907502 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 02/22/2024 |
| Medicare PECOS PAC ID | 0840272985 |
|---|---|
| Medicare Enrollment ID | O20040603000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417907502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | CNC99-285 (Puerto Rico) | Primary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Jose A Rios Battistini |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962445635 PECOS PAC ID: 5395642573 Enrollment ID: I20031216000532 |
| Provider Name | Carlos Guardiola Betancourt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669527487 PECOS PAC ID: 8022901214 Enrollment ID: I20040203000317 |
| Provider Name | Luis S Cruz Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376528125 PECOS PAC ID: 7911895453 Enrollment ID: I20040308000392 |
| Provider Name | Aurelio Miro Rosado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417982554 PECOS PAC ID: 2860423084 Enrollment ID: I20061010000655 |
| Provider Name | Yariliz Ortiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962611723 PECOS PAC ID: 4789771775 Enrollment ID: I20071108000080 |
| Provider Name | Waleska Gonzalez Nieves |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205008901 PECOS PAC ID: 8527130178 Enrollment ID: I20080626000575 |
| Provider Name | Raul E Perez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275561581 PECOS PAC ID: 1850427824 Enrollment ID: I20100329000971 |
| Provider Name | Ferdinand Arce Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093047813 PECOS PAC ID: 5597942532 Enrollment ID: I20110531000589 |
| Provider Name | Walter Rodriguez Cancel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285720367 PECOS PAC ID: 3779731864 Enrollment ID: I20120914000290 |
| Provider Name | Angel Miguel Cruz Mesa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366682338 PECOS PAC ID: 9234389958 Enrollment ID: I20121015000529 |
| Provider Name | Idamaris Alicea |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609896281 PECOS PAC ID: 4587816822 Enrollment ID: I20121212000379 |
| Provider Name | Adiannette Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073842613 PECOS PAC ID: 5496927857 Enrollment ID: I20140117000988 |
| Provider Name | Frank H Benitez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336276658 PECOS PAC ID: 2365762804 Enrollment ID: I20150522001178 |
| Provider Name | Frances C Baerga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568404507 PECOS PAC ID: 8022338243 Enrollment ID: I20150528002646 |
| Provider Name | Myriam Isaura Garcia-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235546086 PECOS PAC ID: 7517202120 Enrollment ID: I20181228001458 |
| Provider Name | David Jose Arocho |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639657422 PECOS PAC ID: 4183969793 Enrollment ID: I20181228001738 |
| Provider Name | Angel Joel Ortiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346874518 PECOS PAC ID: 9335560267 Enrollment ID: I20200602001133 |
| Provider Name | Marcos E Chacon Cruz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700244241 PECOS PAC ID: 5597187518 Enrollment ID: I20200622000566 |
| Provider Name | Alexander E Benitez Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255957908 PECOS PAC ID: 7618392796 Enrollment ID: I20200806001503 |
| Provider Name | Jorge Luis Velez Albino |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811454812 PECOS PAC ID: 3173941697 Enrollment ID: I20200916000571 |
| Provider Name | Dimaris Serrano Viruet |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457985541 PECOS PAC ID: 0446661839 Enrollment ID: I20201116000204 |
| Provider Name | Nicole De Pablo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073193439 PECOS PAC ID: 4486050176 Enrollment ID: I20210903001369 |
| Provider Name | Griselys Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023428166 PECOS PAC ID: 4880082080 Enrollment ID: I20211020001755 |
| Provider Name | Yarielis Vega Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598327157 PECOS PAC ID: 7719371491 Enrollment ID: I20220222002147 |
| Provider Name | Marie M Henriquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174292247 PECOS PAC ID: 6901293919 Enrollment ID: I20220421001275 |
| Provider Name | Juan Matias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386971349 PECOS PAC ID: 1052797917 Enrollment ID: I20220929001135 |
| Provider Name | Giovanny Miguel Melo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730855024 PECOS PAC ID: 3375907983 Enrollment ID: I20230915000951 |
| Provider Name | Luis Grana Santiago |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376606020 PECOS PAC ID: 5193012680 Enrollment ID: I20240109000004 |
Centro Salud De Lares Vacunacion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 1.9, Lares, PR 00669 Phone: 787-897-2727 Fax: 787-897-2725 | |
Lares Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 Phone: 787-897-1444 Fax: 787-897-4952 | |
San Gerardo Medical Center Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 129 Bo Pueblo Km 27.3, Lares, PR 00669 Phone: 787-897-0560 Fax: 787-897-0560 | |
Esp Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 135 Km 4.5, Castaner, Lares, PR 00669 Phone: 787-829-5010 | |
San Lazargerd Medical Center, Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 129 Km 27.3, Carr. 129 Km 27.3, Lares, PR 00669 Phone: 787-897-3979 | |
Terapias Interdisciplinarias De Excelencia En Servicio Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 111 Km 1.2 Bo Pueblo Int 436, Ave Los Patriotas, Lares, PR 00669 Phone: 787-203-2186 |