Centro Medico LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRO MEDICO LLC

Practice address

1425 Viscaya Pkwy Ste 101
Cape Coral, FL 33990

Phone

(239) 257-1167

Fax

(239) 236-1200

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Yahaira Santiago

Title

Owner

Phone

(239) 633-9046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1679097273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 VISCAYA PKWY STE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903294",
            "telephone_number": "239-257-1167",
            "fax_number": "239-236-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 VISCAYA PKWY STE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-257-1167",
            "fax_number": "239-236-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Viscaya Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "33990",
            "country_code": "US",
            "telephone_number": "239-257-1167",
            "fax_number": "239-236-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO MEDICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "YAHAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-633-9046"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamirka Cejas Serpa
• Center for Life Transitions, PA
• Center for Psychological Therapy
• Alyssa Centnarowicz, OTR/L
• Centro Medico LLC
• Centurium Health Care PLLC
• Centurium Health Care PLLC
• Greter Cepero Gonzalez, BCBA
• Maralis Cepero
• Rossana Cepero

• Primary Care Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.