Organization
MED CENTRO, INC.
Active
Parent organization
MED CENTRO, INC.
Other names
Consejo de Salud de Puerto Rico, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED CENTRO, INC.
Authorized official
MR. ALLAN CINTRON-SALICHS MBA,. MHCM (EXECUTIVE DIRECTOR)
(787) 843-9393
Entity
Organization
Contact information
Practice address
1034 AVE HOSTOS, PONCE, PR 00716-1115
(787) 843-9393
(787) 841-0077
Mailing address
PO BOX 220, MERCEDITA, PR 00715-0220
(787) 843-9393
(787) 841-0077
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
200667
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057635
MEDICARE PTAN
PR
Enumeration date
06/07/2010
Last updated
07/17/2019
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