MEDICARE: SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

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

Provider Business Mailing Address
First Line	:	PO BOX 2045
Second Line	:
City	:	BARCELONETA
State	:	PR
Zip	:	00617-2045
Country	:	US
Telephone Number	:	787-846-4412
Fax Number	:	787-846-7410

Provider Business Practice Location Address
First Line	:	CARR 639 KM 2.0
Second Line	:	SABANA HOYOS
City	:	ARECIBO
State	:	PR
Zip	:	00612
Country	:	US
Telephone Number	:	787-846-4412
Fax Number	:	787-846-4412

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. NILDA I SANTIAGO QUILES
Credential	:	MHSA
Telephone Number	:	787-846-4412

Provider Enumeration Date	:	08/01/2014
Last Update Date	:	06/09/2026

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