| Centro Medico Llc | |
|
1425 Viscaya Pkwy Ste 101 Cape Coral FL 33990 | |
| (239) 257-1167 | |
| (239) 236-1200 |
| Full Name | Centro Medico Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1425 Viscaya Pkwy Ste 101, Cape Coral, Florida |
| Authorized Official Name and Position | Yahaira Santiago (OWNER) |
| Authorized Official Contact | 2396339046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Llc 1425 Viscaya Pkwy Ste 101 Cape Coral FL 33990-3294 Ph: (239) 257-1167 | Centro Medico Llc 1425 Viscaya Pkwy Ste 101 Cape Coral FL 33990 Ph: (239) 257-1167 |
| NPI Number | 1679097273 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 06/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679097273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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