Active NPI
St. Croix Plastic Surgery Inc.
Doing business as St. Croix Plastic Surgery & MediSpa
- Medical Specialty Clinic/Center
- Christiansted, VI
National Provider Identifier
1053569392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 1428
- Legal business name
- ST. CROIX PLASTIC SURGERY INC.
- Doing business as
- St. Croix Plastic Surgery & MediSpa
- Practice address
- #12 Beeston Hill
Christiansted, VI 00820 - Phone
- (340) 719-2777
- Fax
- (340) 719-2772
- NPI assigned
- Aug 28, 2008
- Last updated
- Aug 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Francis Centeno, M.D.
- Title
- President
- Phone
- (340) 227-2777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 1428 | VI | Primary |
Addresses
Primary practice location
#12 Beeston Hill
Christiansted, VI 00820
Mailing address
PO Box 24330
Christiansted, VI 00824-0330
Phone (340) 719-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053452821 | Other | VI | TYPE I NPI |
Other names 1
- St. Croix Plastic Surgery & MediSpa
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Christiansted, VI
- NPI 1053452821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219881600000",
"number": "1053569392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24330",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008240330",
"telephone_number": "340-719-2777",
"fax_number": "340-719-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#12 BEESTON HILL",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "00820",
"telephone_number": "340-719-2777",
"fax_number": "340-719-2772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CROIX PLASTIC SURGERY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A",
"authorized_official_last_name": "CENTENO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "340-227-2777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "VI",
"license": "1428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NPI",
"identifier": "1053452821",
"state": "VI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Croix Plastic Surgery & MediSpa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Christiansted, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.