CENTRO MEDICO LLC NPI 1619636610

NPI Information

NPI: 1619636610
Provider Name: CENTRO MEDICO LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1425 VISCAYA PKWY STE 101
CAPE CORAL, FL
ZIP 33990
Phone: (239) 257-1167
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CENTRO MEDICO LLC is a health service clinic center in Cape Coral, FL. CENTRO MEDICO LLC NPI is 1619636610. The provider is registered as an organization entity type.

The provider's business location address is:

1425 VISCAYA PKWY STE 101
CAPE CORAL, FL
ZIP 33990-294
Phone: (239) 257-1167

The provider's authorized official is Jocelin Joseph .
The authorized official title is President and has the following contact phone number (239) 849-9770.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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