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General NPI Number Information
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NPI Number | 1568379394
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Entity Type | Organization
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Legal Business Name | MED CENTRO, INC.
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | RD 153, KM 13.7 SAN ILDEFONSO WARD
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-843-9393
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Fax | 939-214-4095
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | MERCEDITA
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State | PR
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Zip | 00715-0220
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Country | US
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Telephone | 787-843-9393
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Fax | 939-214-4095
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALLAN CINTRON
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Credential | MBA, MHCM
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Telephone | 787-843-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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