MED CENTRO, INC. (NPI# 1053743773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053743773 |
| Entity Type | Organization |
| Organization Name | MED CENTRO, INC. |
| Other Organization Name | CONSEJO DE SALUD DE PUERTO RICO, INC. |
| Practice Address |
1034 Ave Hostos Ponce PR 00716-1115 |
| Mailing Address |
Po Box 220 Mercedita PR 00715-0220 |
| Practice Telephone | 7878439393 |
| Practice Fax Number | 7878410077 |
| Mailing Telephone | 7878439393 |
| Mailing Fax Number | 7878410077 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | MR. ALLAN CINTRON-SALICHS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7878439393 |
| Authorized Official Credential | MBA, MHCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
14 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 40578 | 05 |
| Other Name | Type Code |
|---|---|
| Consejo de Salud de Puerto Rico, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515093 | Med Centro, Inc. | Clinic/Center | 138 Luis M Marin Avenue, Coamo, PR 00715 | 2020-03-31 |
| 1952939258 | Med Centro, Inc. | Clinic/Center | Km Hm 6-5 Carr 385 Bo Cuevas, Penuelas, PR 00624 | 2020-03-31 |
| 1730564121 | Med Centro, Inc. | Clinic/Center | 72 Calle Mayor, Ponce, PR 00730-3724 | 2015-07-27 |
| 1225301641 | Med Centro, Inc. | Clinic/Center | Carr 385 # Km.5, Cuevas Ward, Penuelas, PR 00624-7505 | 2012-02-15 |
| 1942573530 | Med Centro, Inc. | Clinic/Center | N 9 Street H, Nueva Vida El Tuque, Ponce, PR 00728 | 2012-02-14 |
| 1538432042 | Med Centro, Inc. | Clinic/Center | Carr. 149 Km 55.2, Villalba, PR 00766 | 2012-02-14 |
| 1295727147 | Med Centro, Inc. | Clinic/Center | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2005-08-17 |
| 1669097374 | Med Centro, Inc. | Clinic/Center | 1046 Ave Hostos, Ponce, PR 00716-1118 | 2020-06-09 |
| 1275161572 | Med Centro, Inc. | Clinical Medical Laboratory | Km Hm 6-5 Carr 385 Bo Cuevas, Penuelas, PR 00624 | 2020-03-31 |
| 1710515010 | Med Centro, Inc. | Clinic/Center | Km Hm 6-5 Carr 385 Bo Cuevas, Penuelas, PR 00624 | 2020-03-31 |
| Street Address |
1034 AVE HOSTOS |
| City | PONCE |
| State | PR |
| Zip Code | 00716-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727147 | Med Centro, Inc. | Clinic/Center | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2005-08-17 |
| 1114546686 | Desiree Nicole Munoz Alvarado | Student in an Organized Health Care Education/Training Program | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2020-04-14 |
| 1508485194 | Yaniel Torres Leal | Student in an Organized Health Care Education/Training Program | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2020-04-13 |
| 1487297057 | Cristal Dali Cortes | Nutritionist | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2019-10-25 |
| 1396206512 | Christine Marie Garcia De Jesus | Dentist | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2019-03-29 |
| 1225593585 | Isa Mari Borrero | Social Worker | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2019-01-31 |
| 1255811550 | Vanessa Ortiz Torres | Social Worker | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2018-08-16 |
| 1194224410 | Celia Maria Lozada-murcelo | Family Medicine | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2018-02-02 |
| 1356874556 | Francheska Irizarry | Nutritionist | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2017-04-05 |
| 1629519962 | Margarita Bonilla | Student in an Organized Health Care Education/Training Program | 1034 Ave Hostos, Clinica Dental, Ponce, PR 00716-1115 | 2017-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245691740 | Dental Care Center LLC | Clinic/Center | Oficina 211, Torre San Cristobal, Ponce, PR 00780 | 2016-03-10 |
| 1619403326 | Dental Designers Psc | Clinic/Center | 1208 Ave Munoz Rivera, Ponce, PR 00717-0639 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401942 | Innovare Dental | Clinic/Center | Edif Tropical Plaza Suite 3, Carr 2 Marginal 272, Hatillo, PR 00659 | 2020-03-06 |
| 1275177990 | Jorge Galiber | Clinic/Center | 167 Calle San Felipe, Arecibo, PR 00612-4680 | 2019-11-06 |
| 1306495023 | Dc Dental, Inc | Clinic/Center | 61 Calle Domingo Caceres W, Carolina, PR 00985-6010 | 2019-09-05 |
| 1043868722 | Paola Berrios Dmd Psc | Clinic/Center | Plaza Del Carmen Mall Suite 22 Carr 172, Caguas, PR 00725 | 2019-08-27 |
| 1538715404 | Lrc Esthetic Dental Care | Clinic/Center | 576 Calle Cesar Gonzalez Ste 301, San Juan, PR 00918-3757 | 2019-08-15 |
| 1790244119 | Family Pro Smiles | Clinic/Center | Edificio Colon Plaza, Carr 110 Km 12.4, Moca, PR 00676-0000 | 2019-03-15 |
| 1134687379 | Gq Dental Clinic P.s.c. | Clinic/Center | Marina Plaza Suite 16, Barrio Rincon, Gurabo, PR 00778-0961 | 2019-03-06 |
| 1982168951 | Natalia V. Ramirez Rodriguez, Dentistry, LLC | Clinic/Center | Ext 1 Calle Sol, San German, PR 00683 | 2019-01-24 |
| 1255816385 | Advanced Dental Service | Clinic/Center | Carr 110 Int Pr 125, Moca Medical Plaza 211, Moca, PR 00676 | 2018-09-25 |
| 1063919124 | Centro De Reconstruccion Oral E Implantes | Clinic/Center | Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.