| Concilio De Salud Integral De Loiza, Inc. | |
|
Carretera #187 Int.#188 Loiza, Pr, 00772 Box 509, Loiza Station Loiza PR 00772-0509 | |
| (787) 876-2042 | |
| (787) 256-1900 |
| Full Name | Concilio De Salud Integral De Loiza, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Carretera #187 Int.#188 Loiza, Pr, 00772, Loiza, Puerto Rico |
| Authorized Official Name and Position | Cesar A. Rodriguez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878762042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concilio De Salud Integral De Loiza, Inc. Carretera #187 Int.#188 Loiza, Pr, 00772 Box 509, Loiza Station Loiza PR 00772-0509 Ph: (787) 876-2042 | Concilio De Salud Integral De Loiza, Inc. Carretera #187 Int.#188 Loiza, Pr, 00772 Box 509, Loiza Station Loiza PR 00772-0509 Ph: (787) 876-2042 |
| NPI Number | 1558664102 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 03/06/2020 |
| Medicare PECOS PAC ID | 6800990805 |
|---|---|
| Medicare Enrollment ID | O20070402000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558664102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 19 (Puerto Rico) | Primary |
| Provider Name | Pedro J Claudio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245370279 PECOS PAC ID: 5799688446 Enrollment ID: I20040129000844 |
| Provider Name | Vilmary Sierra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689609745 PECOS PAC ID: 7113917659 Enrollment ID: I20040515000555 |
| Provider Name | Luis H Melendez Morales |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548311517 PECOS PAC ID: 8022081751 Enrollment ID: I20040819000494 |
| Provider Name | Jeannine M Badillo Rivera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649376997 PECOS PAC ID: 7214906890 Enrollment ID: I20040930000089 |
| Provider Name | Francisco Gomez Goytia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407810849 PECOS PAC ID: 9739085994 Enrollment ID: I20050316000133 |
| Provider Name | Olga D Rivera Orellano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598843534 PECOS PAC ID: 1254434004 Enrollment ID: I20070315000099 |
| Provider Name | Maria A Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982717245 PECOS PAC ID: 4981700044 Enrollment ID: I20070507000162 |
| Provider Name | Milka Vega Perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831202415 PECOS PAC ID: 6800993858 Enrollment ID: I20070525000391 |
| Provider Name | Celibermari Rodriguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295891992 PECOS PAC ID: 4486741527 Enrollment ID: I20071106000435 |
| Provider Name | Maria A Muns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285600775 PECOS PAC ID: 2264503200 Enrollment ID: I20080618000288 |
| Provider Name | Josue Vazquez Delgado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275676678 PECOS PAC ID: 4486704350 Enrollment ID: I20110817000604 |
| Provider Name | Kassandra Sierra Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093902462 PECOS PAC ID: 6406028638 Enrollment ID: I20111013000014 |
| Provider Name | Jesus D Buonomo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306138342 PECOS PAC ID: 7315197936 Enrollment ID: I20121017000232 |
| Provider Name | Wanda L Rodriguez-galarza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891722351 PECOS PAC ID: 0446495931 Enrollment ID: I20130404000503 |
| Provider Name | Jennifer Rodriguez Ferrer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477691798 PECOS PAC ID: 3274607353 Enrollment ID: I20130926000357 |
| Provider Name | Kathleen Magruder Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205141702 PECOS PAC ID: 5496078024 Enrollment ID: I20150106001372 |
| Provider Name | Javier Ricardo Burgos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942372891 PECOS PAC ID: 0749594760 Enrollment ID: I20150805006835 |
| Provider Name | Rosa A Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558657759 PECOS PAC ID: 5597064964 Enrollment ID: I20160506000424 |
| Provider Name | Josiel Medina Zayas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881980209 PECOS PAC ID: 4082999776 Enrollment ID: I20170320002190 |
| Provider Name | Aileen Rebozo Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215453105 PECOS PAC ID: 0840550968 Enrollment ID: I20180212000862 |
| Provider Name | Gabriela De La Vega Muns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700179223 PECOS PAC ID: 2264709310 Enrollment ID: I20180514002702 |
| Provider Name | Dianily Feliciano Sosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144731712 PECOS PAC ID: 4880938133 Enrollment ID: I20181128000540 |
| Provider Name | Angela Miranda-rivas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366859332 PECOS PAC ID: 1254674534 Enrollment ID: I20190530001972 |
| Provider Name | Jason J Jimenez Ocasio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639580210 PECOS PAC ID: 7113254517 Enrollment ID: I20200721002264 |
| Provider Name | Luis Perez Perez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962805598 PECOS PAC ID: 8123364478 Enrollment ID: I20200722003334 |
| Provider Name | Edgar Morales Chevres |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013300433 PECOS PAC ID: 2264850783 Enrollment ID: I20200916000567 |
| Provider Name | Yarisma Frometa Pastrana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174910525 PECOS PAC ID: 5597059337 Enrollment ID: I20210316001936 |
| Provider Name | Ricardo Rivera Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609152701 PECOS PAC ID: 2567867344 Enrollment ID: I20210817001101 |
| Provider Name | Frances E Ostolaza Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346913670 PECOS PAC ID: 5395137764 Enrollment ID: I20220114000745 |
| Provider Name | Jeffrey Zuckerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326153701 PECOS PAC ID: 7113810318 Enrollment ID: I20221214000780 |
| Provider Name | Maritere Olascoaga-torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437689197 PECOS PAC ID: 2567861958 Enrollment ID: I20230123002797 |
| Provider Name | Nancy Febo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194796896 PECOS PAC ID: 8123493798 Enrollment ID: I20230413000004 |
| Provider Name | Patricia Delgado-munoz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033648191 PECOS PAC ID: 9931569209 Enrollment ID: I20230724000017 |
| Provider Name | Luis M Taveira Colon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699295782 PECOS PAC ID: 4385981232 Enrollment ID: I20230808000098 |
| Provider Name | Gretchen A Otero Soto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013370923 PECOS PAC ID: 1557723418 Enrollment ID: I20230811000981 |
| Provider Name | Lorena Birriel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588239800 PECOS PAC ID: 6709224173 Enrollment ID: I20240403004493 |
| Provider Name | Katia Larisa Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780876631 PECOS PAC ID: 7719959071 Enrollment ID: I20240731004852 |
| Provider Name | Rossy M Roncancio Rey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750946489 PECOS PAC ID: 7315478534 Enrollment ID: I20241001000097 |
| Provider Name | Ricardo Mario Rodriguez Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023877057 PECOS PAC ID: 7416488051 Enrollment ID: I20241007001548 |
| Provider Name | Viviana Cotto Negron |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053985614 PECOS PAC ID: 7911431242 Enrollment ID: I20241108003885 |
| Provider Name | Debora Teresa Reyes-aguilera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700226701 PECOS PAC ID: 0042737926 Enrollment ID: I20250505001449 |