| Med Centro, Inc. | |
|
138 Luis M Marin Avenue Coamo PR 00715 | |
| (797) 843-9393 | |
| (787) 841-0077 |
| Full Name | Med Centro, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 138 Luis M Marin Avenue, Coamo, Puerto Rico |
| Authorized Official Name and Position | Allan Cintron (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878439393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Centro, Inc. Po Box 220 Mercedita PR 00715-0220 Ph: (787) 843-9393 | Med Centro, Inc. 138 Luis M Marin Avenue Coamo PR 00715 Ph: (797) 843-9393 |
| NPI Number | 1710515093 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 04/29/2020 |
| Medicare PECOS PAC ID | 5890692131 |
|---|---|
| Medicare Enrollment ID | O20201005001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710515093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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