Healthcare Provider Details

I. General information

NPI: 1881501484
Provider Name (Legal Business Name): SALUD INTEGRAL EN LA MONTANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 CARR SECTOR EL DESVIO BO ACHIOTE
NARANJITO PR
00719-0515
US

IV. Provider business mailing address

PO BOX 515
NARANJITO PR
00719-0515
US

V. Phone/Fax

Practice location:
  • Phone: 787-869-1290
  • Fax:
Mailing address:
  • Phone: 787-869-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GLORIA AMADOR FERNANDEZ
Title or Position: CEO
Credential: CEO
Phone: 787-869-5900