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
291U00000X
Clinical Medical Laboratory
Primary
323
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0658180
CLIA
PR
Enumeration date
06/07/2010
Last updated
07/17/2019
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