Healthcare Provider Details

I. General information

NPI: 1336282417
Provider Name (Legal Business Name): SALUD INTEGRAL EN LA MONTANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BARCELO 53 BO. PUEBLO
BARRANQUITAS PR
00794-1735
US

IV. Provider business mailing address

PO BOX 515
NARANJITO PR
00719-0515
US

V. Phone/Fax

Practice location:
  • Phone: 787-857-2688
  • Fax: 787-857-1730
Mailing address:
  • Phone: 787-869-5900
  • Fax: 787-722-6980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GLORIA DEL C. AMADOR FERNANDEZ
Title or Position: EXECUTIVE DIRECTOR
Credential: MHA
Phone: 787-869-5900