# CONSOLIDATED MEDICAL CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205227220
- **Authorized official:** SALVADOR CARRION DE LEON MD (PRESIDENT)
- **Authorized official phone:** (787) 745-5050

## Contact information

- **Practice address:** CONSOLIDATED MALL C-20 AVENIDA GAUTIER BENITEZ 202, CAGUAS, PR 00726-6330
- **Practice address phone:** (787) 745-5050
- **Practice address fax:** (787) 746-6784
- **Mailing address:** PO BOX 6330, CAGUAS, PR 00726-6330
- **Mailing address phone:** (787) 745-5050
- **Mailing address fax:** (787) 746-6784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 132193 | PR | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/12/2015
- **Last updated:** 07/29/2025