Organization
COSTA SALUD COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANA M PEREZ (EXECUTIVE DIRECTOR)
(787) 823-5555
Entity
Organization
Contact information
Practice address
28 CALLE MUNOZ RIVERA W, RINCON, PR 00677-2127
(787) 823-5555
(787) 823-2990
Mailing address
PO BOX 638, RINCON, PR 00677-0638
(787) 823-5555
(787) 823-2990
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
57
PR
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
57
PR
261QF0400X
Federally Qualified Health Center (FQHC)
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Other
Enumeration date
06/17/2014
Last updated
11/08/2021
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