Centrosalud PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD653723 Issued in TN

Legal business name

CENTROSALUD PC

Practice address

6063 Mount Moriah Road Ext
Suite 4
Memphis, TN 38115-2644

Phone

(901) 531-8800

Fax

(901) 531-8801

NPI assigned

Jul 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Astrid D Velasquez

Title

Clinic Manager

Phone

(901) 531-8800

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikaele Rector, CPNP-PC

  • Pediatric Nurse Practitioner
  • Memphis, TN
  • NPI 1225819352
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1205036951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6063 MT MORIAH RD EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152644",
            "telephone_number": "901-531-8800",
            "fax_number": "901-531-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 MOUNT MORIAH ROAD EXT",
            "address_2": "SUITE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152644",
            "telephone_number": "901-531-8800",
            "fax_number": "901-531-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTROSALUD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "901-531-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD653723",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD29316",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD023823",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN8252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Fabrication, Inc.
• Central Health Buddies
• Central Memphis Regional Pet Imaging Center, LLC
• Centre of Pioneers Adult Daycare Services
• Centrosalud PC
• Centrosalud PC
• Selma Esther Cervantes
• Kirk Cervetti
• Cet of Memphis, LLC
• Ceva Logistics US Inc.

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.