| Organization Name: | SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC. |
| NPI Number: | 1407222169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANCISCO RODRIGUEZ (CFO) |
| Mailing Address: | 8 Carr 2 # Km57 Cruce Davila Barceloneta |
| State: | PR US |
| Postal Code: | 006173338 |
| Phone Number: | 7878464412 |
| Fax Number: | 7878467410 |
| NPI Enumeration Date: | 08/18/2015 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 79 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |