Healthcare Provider Details

I. General information

NPI: 1306877279
Provider Name (Legal Business Name): CORPORACION SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/02/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 86.6 BO PUEBLO
HATILLO PR
00659-1848
US

IV. Provider business mailing address

PO BOX 907
HATILLO PR
00659-0907
US

V. Phone/Fax

Practice location:
  • Phone: 787-898-4190
  • Fax: 787-262-5980
Mailing address:
  • Phone: 787-898-4190
  • Fax: 787-262-5980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LORENA D TORRES MERCADO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 787-898-4190