Med Centro Inc

A Medicare group practice based in Ponce, PR: 20 NPIs enrolled under one PECOS associate control ID (PAC ID 5890692131), with 106 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890692131The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
PR
Enrollments
12
Group size
62 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 5 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20201005001153 PR Part A Provider - Federally Qualified Health Center (FQHC) 1710515093
O20050625000025 PR Part B Supplier - Independent Clinical Laboratory 1295727147
O20051102000919 PR Part B Supplier - Clinic/Group Practice 1295727147
O20031216000213 PR Part B Supplier - Clinic/Group Practice 1295727147
O20141202002080 PR Part A Provider - Federally Qualified Health Center (FQHC) 1942573530
O20141118001910 PR Part A Provider - Federally Qualified Health Center (FQHC) 1538432042
O20141110000310 PR Part A Provider - Federally Qualified Health Center (FQHC) 1760755276
O20141110000502 PR Part A Provider - Federally Qualified Health Center (FQHC) 1225301641
O20141110000133 PR Part A Provider - Federally Qualified Health Center (FQHC) 1295727147
O20161027000200 PR Part A Provider - Federally Qualified Health Center (FQHC) 1730564121
O20240618002022 PR Part A Provider - Federally Qualified Health Center (FQHC) 1669097374
O20111004000177 PR Part B Supplier - Ambulatory Surgical Center 1295727147

NPIs in this group 20

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 106

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (99) or whom Care Compare lists as members (62).

Sources for this page