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
P.O BOX 220, MERCEDITA, PR 00715-0220
(787) 843-9393
(787) 841-0077
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
21
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26172
MEDICARE PROVIDER NUMBER
PR
Enumeration date
02/01/2011
Last updated
05/29/2020
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