Individual provider Active NPI

Diana Centeno, ANRP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1689220055
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003692 Issued in FL
Practice address
151 NW 11TH St Ste W303
Homestead, FL 33030-4306
Phone
(786) 743-4803
NPI assigned
Aug 12, 2019
Last updated
Jul 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003692 FL Primary

Addresses

Primary practice location

151 NW 11TH St Ste W303
Homestead, FL 33030-4306

Mailing address

1300 NW 15TH St
Homestead, FL 33030-3958
Phone (305) 283-3495

Other practice location 1

12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001232 FL Practitioner - Nurse Practitioner 0143657619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mani Medical Clinic CorpGroup PAC ID 4789112889, 2 clinicians

Practice addresses (Care Compare)

151 NW 11TH St
Suite W303
Homestead, FL 33030-4306
Phone (786) 743-4803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003692FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centeno-Cisneros Medical Group Inc CurrentSince Aug 18, 2019 Accepting new patients
Enlightened Health Restoration CurrentSince Mar 31, 2024 Accepting new patients
Mani Medical Clinic Corp CurrentSince Dec 1, 2024 Accepting new patients

Locations

151 NW 11th St
Ste W303
Homestead, FL 33030
Phone (305) 247-4410

43 NE 15th St
Homestead, FL 33030
Phone (786) 243-1909

833 N Homestead Blvd
Homestead, FL 33030
Phone (305) 245-3247

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEJFDD/Endpoint/HEJFDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1689220055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NW 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303958",
            "telephone_number": "305-283-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE W303",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304306",
            "telephone_number": "786-743-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12280 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328255009",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "DIANA",
        "credential": "ANRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.