| Costa Salud Community Health Centers, Inc. | |
|
Calle Munoz Rivera Rincon PR 00677 | |
| (787) 823-5555 | |
| (787) 823-2990 |
| Full Name | Costa Salud Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Calle Munoz Rivera, Rincon, Puerto Rico |
| Authorized Official Name and Position | Susana M Perez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878235555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Costa Salud Community Health Centers, Inc. Po Box 638 Rincon PR 00677 Ph: (787) 823-5555 | Costa Salud Community Health Centers, Inc. Calle Munoz Rivera Rincon PR 00677 Ph: (787) 823-5555 |
| NPI Number | 1912997768 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 05/01/2014 |
| Medicare PECOS PAC ID | 1951370022 |
|---|---|
| Medicare Enrollment ID | O20040927000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912997768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 57 (Puerto Rico) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Edgar A Rodriguez Nazario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508961558 PECOS PAC ID: 3072588839 Enrollment ID: I20040826000811 |
| Provider Name | Sibel Pabon Reyes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104801224 PECOS PAC ID: 6901837368 Enrollment ID: I20050825000216 |
| Provider Name | Luis A Caraballo Feliciano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255341442 PECOS PAC ID: 0648271031 Enrollment ID: I20070129000082 |
| Provider Name | Irma N Rivera Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881791291 PECOS PAC ID: 9436246527 Enrollment ID: I20071107000026 |
| Provider Name | Jose M Canabal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518049766 PECOS PAC ID: 4183795461 Enrollment ID: I20080613000030 |
| Provider Name | Roberto Gutierrez Morales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811191844 PECOS PAC ID: 4486700689 Enrollment ID: I20090912000144 |
| Provider Name | Roberto Rodriguez Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184606618 PECOS PAC ID: 3870767379 Enrollment ID: I20111118000435 |
| Provider Name | Gloria Duran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245444793 PECOS PAC ID: 0547480014 Enrollment ID: I20141003001820 |
| Provider Name | Omayra J Serrano Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295149045 PECOS PAC ID: 1658696257 Enrollment ID: I20150202000907 |
| Provider Name | Rafael Matos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043247893 PECOS PAC ID: 8022322965 Enrollment ID: I20150805007875 |
| Provider Name | Michelle Fuentes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417183104 PECOS PAC ID: 2466760376 Enrollment ID: I20150925001702 |
| Provider Name | Mireya Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598155426 PECOS PAC ID: 9032429329 Enrollment ID: I20151117002911 |
| Provider Name | Awilda Vera Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962916510 PECOS PAC ID: 5890044275 Enrollment ID: I20180817001330 |
| Provider Name | Maricarmen Cardona-bosque |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275915829 PECOS PAC ID: 7113350414 Enrollment ID: I20191127000073 |
| Provider Name | Vivian A Justiniano Santiago |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689152035 PECOS PAC ID: 9234562364 Enrollment ID: I20191204000780 |
| Provider Name | Stephanie Ramirez Moreu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942789839 PECOS PAC ID: 0244652915 Enrollment ID: I20200625001851 |
| Provider Name | Coralis Naomi Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174149843 PECOS PAC ID: 2062835291 Enrollment ID: I20200707002411 |
| Provider Name | Jeamarie Marrero Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942826862 PECOS PAC ID: 7618390691 Enrollment ID: I20200709000950 |
| Provider Name | Zuleyka Mendez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346801503 PECOS PAC ID: 9830589845 Enrollment ID: I20211207000627 |
| Provider Name | Vianca Enid Rios Munoz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730855347 PECOS PAC ID: 4981084951 Enrollment ID: I20220707003868 |
| Provider Name | Gisela Marie Matos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124613807 PECOS PAC ID: 4688040777 Enrollment ID: I20221013003806 |
| Provider Name | Barbara Julia Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255949244 PECOS PAC ID: 2466829320 Enrollment ID: I20221109002590 |
| Provider Name | Orlando Jasiel Diaz Miranda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265006555 PECOS PAC ID: 0042667750 Enrollment ID: I20231116002398 |
| Provider Name | Carlos A Robles Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295415610 PECOS PAC ID: 3577911015 Enrollment ID: I20231122001293 |
| Provider Name | Elane Rivera-velez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972141133 PECOS PAC ID: 1951744663 Enrollment ID: I20240209002036 |
Sanchez Montano Medical Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 Calle Munoz Rivera W, Rincon, PR 00677 Phone: 787-823-7200 Fax: 939-697-8170 | |
Costa Salud Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Calle Munoz Rivera W, Rincon, PR 00677 Phone: 787-823-5555 Fax: 787-823-2990 |