CENTRO DE SALUD DE LARES, INC. (NPI# 1417907502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417907502 |
| Entity Type | Organization |
| Organization Name | CENTRO DE SALUD DE LARES, INC. |
| Practice Address |
Road 111 Km 1.9 Los Patriotas Ave. Lares PR 00669-0379 |
| Mailing Address |
Po Box 379 Lares PR 00669-0379 |
| Practice Telephone | 7878972727 |
| Practice Fax Number | 7878972725 |
| Mailing Telephone | 7878972727 |
| Mailing Fax Number | 7878972725 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MR. RIGOBERTO HERNANDEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7878972727 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRO DE SALUD DE LARES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CNC99-285 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | CRUZ AZUL | 030168 | 01 |
| PR | TRIPLE | 81009 | 01 |
| PR | ASOCIACION MAESTROS-MEDIC | 1511-1 | 01 |
| PR | ASOCIACION MAESTROS-SE | 1511-2 | 01 |
| PR | PREFERRED HEALTH PLAN | 600099 | 01 |
| PR | ACAA | 1000608 | 01 |
| PR | ASOCIACION MAESTROS-LAB | 1511-3 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184895187 | Centro De Salud De Lares, Inc. | Clinic/Center | Calle Munoz Rivera Esquina San J Usto, # 114, Quebradillas, PR 00678 | 2008-03-18 |
| 1588862718 | Centro De Salud De Lares, Inc. | Dentist | Road111, Km. 1.9, Ave. Los Patriotas, Lares, PR 00669-0379 | 2007-07-10 |
| 1235179532 | Centro De Salud De Lares, Inc. | Clinic/Center | 116 Calle Rafols, Esquina Del Carmen, Quebradillas, PR 00678 | 2006-06-07 |
| 1265682884 | Centro De Salud De Lares, Inc. | Clinic/Center | 116 Calle Rafols, Esquina Del Carmen 114, Quebradillas, PR 00678 | 2008-09-19 |
| 1710185947 | Centro De Salud De Lares, Inc. | Clinic/Center | Road 111, Km. 1.9, Ave. Los Patriotas, Lares, PR 00669-0379 | 2007-07-10 |
| 1811195043 | Centro De Salud De Lares, Inc. | Clinic/Center | Road 111, Km. 1.9, Ave. Los Patriotas, Lares, PR 00669-0379 | 2007-07-10 |
| 1013115245 | Centro De Salud De Lares, Inc. | Pharmacist | Road 111, Km. 1.9, Ave. Los Patriotas, Lares, PR 00669-0379 | 2007-07-10 |
| 1932307162 | Centro De Salud De Lares, Inc. | Clinic/Center | Road 111, Km. 1.9, Ave. Los Patriotas, Lares, PR 00669-0379 | 2007-07-10 |
| 1750589982 | Centro De Salud De Lares, Inc. | Clinical Medical Laboratory | Road 111, Km. 1.9, Ave. Los Patriotas, Lares, PR 00669-0379 | 2007-07-10 |
| Street Address |
ROAD 111 KM 1.9 LOS PATRIOTAS AVE. |
| City | LARES |
| State | PR |
| Zip Code | 00669-0379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639136203 | Francisco Ball-rosa | Pediatrics | Road 111 Km 1.9, Los Patriotas Ave., Lares, PR 00669 | 2006-04-27 |
| 1841401577 | Aida L Lopez | Pharmacy Technician | Road 111 Km 1.9, Lares, PR 00669 | 2007-05-24 |
| 1295946994 | Yanina I Vazquez | Pharmacy Technician | Road 111 Km 1.9, Lares, PR 00669-0097 | 2007-05-24 |
| 1730390444 | Griselle Galarza | Pharmacy Technician | Road 111 Km 1.9, Lares, PR 00669 | 2007-05-24 |
| 1285845909 | Julissa I Vera | Pharmacy Technician | Road 111 Km 1.9, Lares, PR 00669 | 2007-05-24 |
| 1194779223 | Camila E Jusino | Pediatrics | Road 111 Km 1.9, Los Patriotas Ave., Lares, PR 00669-1301 | 2006-05-22 |
| 1174572242 | Cesar H Medina Quinones | General Practice | Road 111 Km 1.9, Ave Los Pariotas, Lares, PR 00669 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390252 | Stephanie Quiles Villanueva | Psychologist | Carretera Ramal 111 Km 0.7, Edificio Lares Office Center, Lares, PR 00669 | 2020-06-10 |
| 1861013161 | Caribbean Health Solution | General Practice | Carr 129 Km 25.4, Lares, PR 00669 | 2020-04-28 |
| 1427686641 | Andy Vega | Student in an Organized Health Care Education/Training Program | Pr 124 Km 22 Hm 4 Bo. Espino, Lares, PR 00669 | 2020-04-01 |
| 1699300921 | Luz Miriam Velez Roman | Pharmacist | Carr. 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 | 2020-03-06 |
| 1003446741 | Jose A. Romero Carrero | Pharmacist | Carr.129 Int. Carr.111 Km 23.2 Cruce Mijan, Lares, PR 00669 | 2020-01-22 |
| 1053958256 | Rigoberto Gonzalez Perez | Pharmacist | Centro De Salud De Lares Inc. Carr. 111 Km. 1.9, Lares, PR 00669 | 2019-12-06 |
| 1679118509 | Zulma Roman Perez | Registered Nurse | Campo Alegre 77 Calle Los Pinos, Lares, PR 00669 | 2019-11-14 |
| 1720635543 | Daylin Guerrero Caballero | General Practice | Carretera 129, Km 23.4, Sector Arroyo, Barrio Piletas, Lares, PR 00669 | 2019-08-26 |
| 1346801750 | Jose Enrique Sarazu | Psychologist | Ave. Los Patriotas 501, Lares, PR 00669 | 2019-06-26 |
| 1548820160 | Wilson Gabriel Velez-perez | Student in an Organized Health Care Education/Training Program | Car 129 Int 4453 Km 1.8 Piletas Arce, Lares, PR 00669 | 2019-06-17 |
| Find all providers in zip 00669 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992360440 | Centro De Salud De Lares, Inc | Clinic/Center | Carr 111 Km 1.9, Lares, PR 00669 | 2019-05-09 |
| 1801451356 | Centro De Salud De Lares, Inc | Clinic/Center | Carr 111 Km 1.9, Lares, PR 00669 | 2019-05-09 |
| 1104481852 | Centro De Salud De Lares, Inc | Clinic/Center | Carr 111 Km 1.9, Lares, PR 00669 | 2019-05-08 |
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|---|---|---|---|---|
| 1710515093 | Med Centro, Inc. | Clinic/Center | 138 Luis M Marin Avenue, Coamo, PR 00715 | 2020-03-31 |
| 1093357337 | Neomed Center, Inc. | Clinic/Center | Street #31 Km 3.7, Lot #2, Naguabo, PR 00718 | 2019-10-08 |
| 1164987152 | Prymed Medical Care Inc | Clinic/Center | Bo Jaguas Carr 149 Km 13, Ciales, PR 00638 | 2019-02-05 |
| 1811451883 | Prymed Medical Care, Inc | Clinic/Center | Calle #2 Km 39.8, Bo Algarrobo, Vega Baja, PR 00693 | 2019-01-24 |
| 1609357532 | Hospital General De Castaner Inc. | Clinic/Center | Carr. 135 Km 64.2, Castaner, PR 00631 | 2018-08-28 |
| 1336519644 | Neomed Center, Inc. | Clinic/Center | Carr. #31, Km 22.6, Bo. Ceiba Norte, Juncos, PR 00777 | 2015-09-29 |
| 1407222169 | Servicios De Salud Primarios De Barceloneta, Inc. | Clinic/Center | 8 Carr 2 # Km57, Cruce Davila, Barceloneta, PR 00617-3338 | 2015-08-18 |
| 1538545710 | Salud Integral En La Montana, Inc. | Clinic/Center | 4 Carr 165, Bo. Quedrada Cruz, Toa Alta, PR 00953-2338 | 2015-08-10 |
| 1730564121 | Med Centro, Inc. | Clinic/Center | 72 Calle Mayor, Ponce, PR 00730-3724 | 2015-07-27 |
| 1609250935 | Salud Integral En La Montana, Inc. | Clinic/Center | Carr. 165 Km 4.5, Bo. Quebrada Cruz, Toa Alta, PR 00953 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.