| Med Centro, Inc. | |
|
1034 Ave Hostos Ponce PR 00716-1115 | |
| (787) 843-9393 | |
| (787) 841-0077 |
| Full Name | Med Centro, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1034 Ave Hostos, Ponce, Puerto Rico |
| Authorized Official Name and Position | Allan Cintron-salichs (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878439393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Centro, Inc. Po Box 220 Mercedita PR 00715-0220 Ph: (787) 843-9393 | Med Centro, Inc. 1034 Ave Hostos Ponce PR 00716-1115 Ph: (787) 843-9393 |
| NPI Number | 1053743773 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053743773 | NPI | - | NPPES |
| 40578 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14 (Puerto Rico) | Primary |
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