Active NPI
Rina Ivelisse Centeno-Colon
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1114296811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38033
- Practice address
- 1530 Celebration Blvd Ste 100
Kissimmee, FL 34747-5165 - Phone
- (321) 939-2579
- Fax
- (321) 939-2580
- NPI assigned
- Dec 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3722 | PR | |
| Pharmacist | 183500000X | PS38033 | FL | Primary |
Addresses
Primary practice location
1530 Celebration Blvd Ste 100
Kissimmee, FL 34747-5165
Mailing address
1530 Celebration Blvd Ste 100
Kissimmee, FL 34747-5165
Phone (321) 939-2579
Other practice location 1
2512 Twain Dr
Tallahassee, FL 32311-3312
Phone (850) 766-9141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS38033 | FL | MD | Pharmacist |
| 3722 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1114296811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 CELEBRATION BLVD STE 100",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347475165",
"telephone_number": "321-939-2579",
"fax_number": "321-939-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 CELEBRATION BLVD STE 100",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347475165",
"telephone_number": "321-939-2579",
"fax_number": "321-939-2580"
}
],
"practiceLocations": [
{
"address_1": "2512 Twain Dr",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323113312",
"country_code": "US",
"telephone_number": "850-766-9141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CENTENO-COLON",
"first_name": "RINA",
"middle_name": "IVELISSE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-26",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3722",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
- Evelyn Celestine II, OTR
- Andrea Cely
- Perla Nindy Ceme
- Laira Ceneus
- Jomaris Centeno Girona
- Center for Family Practice & Sports Medicine P.a.
- Center for Psychological Health & Behavioral Wellness, PLLC
- Centerwell Senior Primary Care (FL) Inc.
- Centerwell Senior Primary Care (FL) Inc.
- Centerwell Senior Primary Care (FL) Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.