| Organization Name: | SALUD INTEGRAL EN LA MONTANA, INC. |
| NPI Number: | 1205870086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS MARTINEZ (DIRECTOR) |
| Mailing Address: | 53 Calle Barcelo 1er Piso Centro De Salud De Barranquitas Barranquitas |
| State: | PR US |
| Postal Code: | 007941735 |
| Phone Number: | 7878577001 |
| Fax Number: | 7878574482 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |