Organization
MED CENTRO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ENERIS MARIE MEDINA (COMPLIANCE OFFICER)
(787) 843-9393
Entity
Organization
Contact information
Practice address
1046 AVE HOSTOS, PONCE, PR 00716-1118
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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