POLICLINICA FAMILIAR SHALOM INC
NPI 1619580321
Preventive Medicine - Public Health & General Preventive Medicine in Mayaguez, PR
About Policlinica Familiar Shalom Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POLICLINICA FAMILIAR SHALOM INC (NPI 1619580321), doing business as Servicios Preventivos De Salud De Mayaguez Puerto Rico, is a healthcare organization registered as a public health & general preventive medicine in Mayaguez, Puerto Rico and active in the NPI registry since August 2020. The organization lists Vivian Feliciano Nieves, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Policlinica Familiar Shalom Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Policlinica Familiar Shalom Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 23San Juan, PR 00918
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Policlinica Familiar Shalom Inc's NPI number?
The NPI number for Policlinica Familiar Shalom Inc is 1619580321. It was assigned to this organization in the NPPES registry on August 24, 2020. The provider is doing business as Servicios Preventivos De Salud De Mayaguez Puerto Rico.
Where is Policlinica Familiar Shalom Inc located?
Policlinica Familiar Shalom Inc is located at 25 Calle Mendez Vigo W, Mayaguez, PR 00680. The listed phone number is (787) 896-1850.
What is Policlinica Familiar Shalom Inc's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.
Is Policlinica Familiar Shalom Inc enrolled in Medicare?
Yes. Policlinica Familiar Shalom Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Policlinica Familiar Shalom Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 2 Medicare specialties reassign their Medicare billing to Policlinica Familiar Shalom Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Practice (16) and Diagnostic Radiology (7). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Policlinica Familiar Shalom Inc was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Policlinica Familiar Shalom Inc · NPI 1619580321
Public Health & General Preventive Medicine organization in Mayaguez, Puerto Rico. Organization record, active in the CMS NPPES registry since August 24, 2020.
## Identity
- **NPI:** 1619580321 (Entity type: Organization)
- **Enumerated:** August 24, 2020
- **Primary specialty:** Preventive Medicine - Public Health & General Preventive Medicine · taxonomy 2083P0901X
- **Also known as:** SERVICIOS PREVENTIVOS DE SALUD DE MAYAGUEZ PUERTO RICO (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Vivian Feliciano Nieves, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 25 CALLE MENDEZ VIGO W, Mayaguez, PR 00680-6756
- **Phone:** (787) 896-1850 · **Fax:** (787) 280-9497
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (16), Diagnostic Radiology (7); [full list](https://npiprofile.com/npi/1619580321/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619580321) · Data from the CMS NPPES public registry.