Healthcare Provider Details

I. General information

NPI: 1518375625
Provider Name (Legal Business Name): SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 639 KM 2.0 SABANA HOYOS
ARECIBO PR
00688-9591
US

IV. Provider business mailing address

PO BOX 2045
BARCELONETA PR
00617-2045
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-4412
  • Fax: 787-846-4412
Mailing address:
  • Phone: 787-846-4412
  • Fax: 787-846-7410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MS. NILDA I SANTIAGO QUILES
Title or Position: EXECUTIVE DIRECTOR
Credential: MHSA
Phone: 787-846-4412