Provider Demographics
NPI:1417038670
Name:MCN COMMUNITY PRIMARY HEALTH CARE
Entity Type:Organization
Organization Name:MCN COMMUNITY PRIMARY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-447-4244
Mailing Address - Street 1:PO BOX 8461
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8461
Mailing Address - Country:US
Mailing Address - Phone:787-447-4244
Mailing Address - Fax:787-703-2237
Practice Address - Street 1:URBANIZACION VILLA DEL REY II
Practice Address - Street 2:E-1 CALLE PRINCIPAL
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-286-6208
Practice Address - Fax:787-703-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13782261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health