NPIMap

Organization Active NPI

Med Centro, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
National Provider Identifier
1780124149
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
21 Issued in 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
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MED CENTRON, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

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

Specialties & licenses 1

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

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 1

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

National Provider Directory

National Provider Directory
Tax ID family
Med Centro Inc28 organizations share this tax ID, including this one
Part of
Med Centro Inc

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.