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Organization

MED CENTRO, INC.

Active
Other names
Consejo de Salud de Puerto Rico, Inc.
Organization subpart
No

Provider details

NPI number
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
133N00000X
Nutritionist
261Q00000X
Clinic/Center
261QD0000X
Dental Clinic/Center
261QE0002X
Emergency Care Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0206X
Mammography Clinic/Center
261QU0200X
Urgent Care Clinic/Center
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
08/17/2005
Last updated
09/05/2024
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