Organization Active NPI

Medicentro Inc

  • Durable Medical Equipment & Medical Supplies
  • Aibonito, PR
National Provider Identifier
1063518579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICENTRO INC
Practice address
204 Calle Julio Cintron
Edif Guayacan Suite 223
Aibonito, PR 00705-3311
Phone
(787) 735-1560
Fax
(787) 735-1114
NPI assigned
Sep 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Norma Iris Colon
Title
Administrator
Phone
(787) 735-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

204 Calle Julio Cintron
Edif Guayacan Suite 223
Aibonito, PR 00705-3311

Mailing address

PO Box 2021
Aibonito, PR 00705-2021
Phone (787) 735-1560

National Provider Directory

National Provider Directory

Locations

204 Calle Julio Cintron
Ste 223
Aibonito, PR 00705
Phone (787) 735-1560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063518579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2021",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052021",
            "telephone_number": "787-735-1560",
            "fax_number": "787-735-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CALLE JULIO CINTRON",
            "address_2": "EDIF GUAYACAN SUITE 223",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053311",
            "telephone_number": "787-735-1560",
            "fax_number": "787-735-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICENTRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-735-1560",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.