OrganizationActive
Med Centro, Inc.
NPI 1669097374 · Federally Qualified Health Center (FQHC) · Ponce, PR
Provider details
- NPI number
- 1669097374
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eneris Medina, Compliance Officer(787) 843-9393
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1046 Ave Hostos
Ponce, PR 00716-1118
Phone: (787) 843-9393
Fax: (787) 841-0077
Mailing address
Po Box 220
Mercedita, PR 00715-0220
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2020-06-09
- Certified
- 2020-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.