# MED CENTRO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Consejo de Salud de Puetro Rico, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467518340
- **Authorized official:** ALLAN CINTRON SALICHS MBA, MHCM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 843-9393

## Contact information

- **Practice address:** 1034 AVE HOSTOS, PONCE, PR 00716-1115
- **Practice address phone:** (787) 843-9393
- **Practice address fax:** (787) 841-0077
- **Mailing address:** PO BOX 220, MERCEDITA, PR 00715-0220
- **Mailing address phone:** (787) 843-9393
- **Mailing address fax:** (787) 841-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4021553 | NCPDP | — |