MED CENTRO, INC. (NPI# 1225301641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225301641 |
| Entity Type | Organization |
| Organization Name | MED CENTRO, INC. |
| Other Organization Name | CONSEJO DE SALUD DE PUERTO RICO INC. |
| Practice Address |
Carr 385 # Km.5 Cuevas Ward Penuelas PR 00624-7505 |
| Mailing Address |
Po Box 220 Mercedita PR 00715-0220 |
| Practice Telephone | 7878439393 |
| Mailing Telephone | 7878439393 |
| Mailing Fax Number | 7878410077 |
| Enumeration Date | 2012-02-15 |
| 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 | Y |
| Parent Organization Name | MED CENTRO, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1811438385 | Med Centro, Inc. | Clinic/Center | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2017-03-16 |
| Street Address |
CARR 385 # KM.5 CUEVAS WARD |
| City | PENUELAS |
| State | PR |
| Zip Code | 00624-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952939258 | Med Centro, Inc. | Clinic/Center | Km Hm 6-5 Carr 385 Bo Cuevas, Penuelas, PR 00624 | 2020-03-31 |
| 1851927610 | Pedro Jose Rivera | Physician Assistant | Carretera 132 Km 9.2 Interior Barrio Cotto Quebradas Se, Penuelas, PR 00624 | 2020-03-12 |
| 1750923439 | Denise Feliciano | Registered Nurse | Alturas De Penuelas 1, Calle 8 Casa C-7, Penuelas, PR 00624 | 2019-10-14 |
| 1114577350 | Farmacia La Chimenea | Pharmacy | Carretera Pr-132 Km 8.7, Penuelas, PR 00624 | 2019-09-19 |
| 1073162087 | Zuleika Perez | Social Worker | Barrio Rucio Carretera 391 Km 3.5, Penuelas, PR 00624 | 2019-09-11 |
| 1548724206 | Cesar Julian Torres Gutierrez | Student in an Organized Health Care Education/Training Program | 119 Carr Pr 391, Penuelas, PR 00624 | 2019-01-28 |
| 1063870772 | Juana Enid Colon | Pharmacist | 175 Carr Pr 385, Walgreens 9118, Penuelas, PR 00624 | 2016-02-09 |
| 1063894186 | Osvaldo Gotay-ruiz | Social Worker | 75 Reparto Kennedy, Penuelas, PR 00624 | 2015-06-25 |
| 1104213099 | Ajl Dental | Clinic/Center | 607 Calle Dr Loyola, Penuelas, PR 00624 | 2015-04-20 |
| 1568853687 | Instituto De Ginecologia Y Obstetricia Del Sur | Clinic/Center | 628 Calle Pedro Velazquez A 2 A 3, Penuelas, PR 00624 | 2015-02-11 |
| Find all providers in zip 00624 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515093 | Med Centro, Inc. | Clinic/Center | 138 Luis M Marin Avenue, Coamo, PR 00715 | 2020-03-31 |
| 1093357337 | Neomed Center, Inc. | Clinic/Center | Street #31 Km 3.7, Lot #2, Naguabo, PR 00718 | 2019-10-08 |
| 1164987152 | Prymed Medical Care Inc | Clinic/Center | Bo Jaguas Carr 149 Km 13, Ciales, PR 00638 | 2019-02-05 |
| 1811451883 | Prymed Medical Care, Inc | Clinic/Center | Calle #2 Km 39.8, Bo Algarrobo, Vega Baja, PR 00693 | 2019-01-24 |
| 1609357532 | Hospital General De Castaner Inc. | Clinic/Center | Carr. 135 Km 64.2, Castaner, PR 00631 | 2018-08-28 |
| 1336519644 | Neomed Center, Inc. | Clinic/Center | Carr. #31, Km 22.6, Bo. Ceiba Norte, Juncos, PR 00777 | 2015-09-29 |
| 1407222169 | Servicios De Salud Primarios De Barceloneta, Inc. | Clinic/Center | 8 Carr 2 # Km57, Cruce Davila, Barceloneta, PR 00617-3338 | 2015-08-18 |
| 1538545710 | Salud Integral En La Montana, Inc. | Clinic/Center | 4 Carr 165, Bo. Quedrada Cruz, Toa Alta, PR 00953-2338 | 2015-08-10 |
| 1730564121 | Med Centro, Inc. | Clinic/Center | 72 Calle Mayor, Ponce, PR 00730-3724 | 2015-07-27 |
| 1609250935 | Salud Integral En La Montana, Inc. | Clinic/Center | Carr. 165 Km 4.5, Bo. Quebrada Cruz, Toa Alta, PR 00953 | 2015-07-16 |
| 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.