MED CENTRO, INC. – NPI #1053743773
Clinic/Center

MED CENTRO, INC. is an AHC clinic located in PONCE, PR. NPPES has assigned the NPI number 1053743773 to MED CENTRO, INC. on August 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CONSEJO DE SALUD DE PUERTO RICO, INC.. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 7 years ago on Jul 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MED CENTRO, INC. below.

NPI Profile for
MED CENTRO, INC.

NPI Number
1053743773
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MED CENTRO, INC.
Former Legal Business Name: CONSEJO DE SALUD DE PUERTO RICO, INC.
Primary location
1034 AVE HOSTOS
PONCE, PR 00716-1115
Phone: (787) 843-9393 Fax: (787) 841-0077
Mailing address
PO BOX 220
MERCEDITA, PR 00715-0220
Phone: (787) 843-9393 Fax: (787) 841-0077
Organization Subpart
No
Authorized Official
ALLAN CINTRON-SALICHS
EXECUTIVE DIRECTOR
Phone: (787) 843-9393
Updated
Identifiers

Identifiers for MED CENTRO, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPR40578
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 PR 14

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.