NPIMap

Med Centro, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Ponce, PR

NPI 1780124149 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1780124149
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
21 (PR)
Legal business name
MED CENTRO, INC.
Practice address
1034 Ave Hostos
Ponce, PR 00716-1115
Phone
(787) 843-9393
Fax
(787) 841-0077
NPI assigned
Mar 6, 2017
Organization subpart
Yes
Parent organization (as reported)
MED CENTRON, INC.

Authorized official

Name
Allan Cintron-Salichs, MDA, MNCH
Title
Executive Director
Phone
(787) 843-9393

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

Tax ID family
Med Centro Inc (27 organizations share this tax ID)
Part of
Med Centro Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 21 PR Yes

Addresses

Primary practice location

1034 Ave Hostos
Ponce, PR 00716-1115

Mailing address

PO Box 220
Mercedita, PR 00715-0220
Phone (787) 843-9393

Other names

  • Consejo de Salud de Puerto Rico, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2019.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1780124149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150220",
            "telephone_number": "787-843-9393",
            "fax_number": "787-841-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161115",
            "telephone_number": "787-843-9393",
            "fax_number": "787-841-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTRO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED CENTRON, INC.",
        "enumeration_date": "2017-03-06",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "CINTRON-SALICHS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-843-9393",
        "authorized_official_credential": "MDA, MNCH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consejo de Salud de Puerto Rico, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

All providers in Ponce, PR · Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

Sources for this page

Verify at the official NPI Registry.