Organization 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
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1428 Issued in VI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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.NPI 1053452821
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1053452821OtherVITYPE I NPI

Other names 1

  • St. Croix Plastic Surgery & MediSpa Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.