Provider Demographics
NPI:1851686547
Name:CENTRO MARGARITA,INC
Entity Type:Organization
Organization Name:CENTRO MARGARITA,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:YADIRA
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-739-6030
Mailing Address - Street 1:RR 3 BOX 7260
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9917
Mailing Address - Country:US
Mailing Address - Phone:787-739-6030
Mailing Address - Fax:787-739-0808
Practice Address - Street 1:CARR 172 KM 8.4 BO. CERTENEJAS
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-9917
Practice Address - Country:US
Practice Address - Phone:787-739-6030
Practice Address - Fax:787-739-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty