Individual provider Active NPI

Luisa Alejandra Centeno Silva, RN, MSN, FNP-BC

  • Family Medicine Physician
  • West Roxbury, MA
National Provider Identifier
1699316539
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN2320555 Issued in MA
Practice address
4785 Washington St # 2
West Roxbury, MA 02132-2113
Phone
(617) 909-5777
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN2320555 MA Primary

Addresses

Primary practice location

4785 Washington St # 2
West Roxbury, MA 02132-2113

Mailing address

4785 Washington St # 2
West Roxbury, MA 02132-2113
Phone (617) 909-5777

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2320555MAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1699316539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 WASHINGTON ST # 2",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322113",
            "telephone_number": "617-909-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 WASHINGTON ST # 2",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322113",
            "telephone_number": "617-909-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO SILVA",
        "first_name": "LUISA",
        "middle_name": "ALEJANDRA",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2320555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.