Centrum Medical Holdings, Llc | |
7200 Nw 7th St Ste 150 Miami FL 33126-2941 | |
(305) 266-2929 | |
(786) 558-0242 |
Full Name | Centrum Medical Holdings, Llc |
---|---|
Speciality | Internal Medicine |
Location | 7200 Nw 7th St Ste 150, Miami, Florida |
Authorized Official Name and Position | Alexis Agreda (CFO) |
Authorized Official Contact | 3052662929 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Centrum Medical Holdings, Llc 9250 Nw 36th St Ste 420 Doral FL 33178-2775 Ph: (305) 266-2929 | Centrum Medical Holdings, Llc 7200 Nw 7th St Ste 150 Miami FL 33126-2941 Ph: (305) 266-2929 |
NPI Number | 1538714282 |
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Provider Enumeration Date | 08/08/2019 |
Last Update Date | 02/08/2024 |
Medicare PECOS PAC ID | 8820422991 |
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Medicare Enrollment ID | O20191223002085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538714282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Francisco M Macias |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1659324127 PECOS PAC ID: 9436161387 Enrollment ID: I20060615000226 |
Provider Name | Enrique E Vazquez Escarpanter |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1083729677 PECOS PAC ID: 4981684529 Enrollment ID: I20090519000444 |
Provider Name | Ivan Rapado |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1295026243 PECOS PAC ID: 3779747100 Enrollment ID: I20120614000200 |
Provider Name | Giselle Ojeda |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710200860 PECOS PAC ID: 4688830771 Enrollment ID: I20120806000790 |
Provider Name | Manuel Lam |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801239439 PECOS PAC ID: 4981827151 Enrollment ID: I20140516000764 |
Provider Name | Alexander Santos-garcia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316378664 PECOS PAC ID: 4981824562 Enrollment ID: I20141002000576 |
Provider Name | Barbara Isabel Llanes |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1669812061 PECOS PAC ID: 4789806027 Enrollment ID: I20150324002750 |
Provider Name | Hector L Morier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053716043 PECOS PAC ID: 9436477650 Enrollment ID: I20150417001033 |
Provider Name | Sandra A Fuentefria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841698511 PECOS PAC ID: 0446555916 Enrollment ID: I20160804001451 |
Provider Name | Madelaine Rios |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457756025 PECOS PAC ID: 9931409554 Enrollment ID: I20160928001485 |
Provider Name | Akbar Nikfarjam |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1649651274 PECOS PAC ID: 4587978929 Enrollment ID: I20161019002470 |
Provider Name | Marilin Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053760397 PECOS PAC ID: 4880978220 Enrollment ID: I20170301002630 |
Provider Name | Izaela Bauza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689030900 PECOS PAC ID: 9537466982 Enrollment ID: I20170328002522 |
Provider Name | Francisco S Rosas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235475559 PECOS PAC ID: 7618254830 Enrollment ID: I20170425002872 |
Provider Name | Gustavo Canete Casanas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932638152 PECOS PAC ID: 7012177637 Enrollment ID: I20180503002266 |
Provider Name | Cristina E Vera Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164877932 PECOS PAC ID: 8325339765 Enrollment ID: I20180505000120 |
Provider Name | Tamara Alonso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740721786 PECOS PAC ID: 6507120185 Enrollment ID: I20180507002504 |
Provider Name | Iviana Tamara Farinas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154829471 PECOS PAC ID: 7214281294 Enrollment ID: I20181109000933 |
Provider Name | Juan H Alvarez Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699258004 PECOS PAC ID: 9830435429 Enrollment ID: I20190118002108 |
Provider Name | Jorge Diaz Valdes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891116471 PECOS PAC ID: 5799052759 Enrollment ID: I20190208000186 |
Provider Name | Geobel Buchillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538652979 PECOS PAC ID: 2668710070 Enrollment ID: I20190211000823 |
Provider Name | Rafael A Soriano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609385574 PECOS PAC ID: 0345589628 Enrollment ID: I20190304002344 |
Provider Name | Dayamis Penalver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952833964 PECOS PAC ID: 7416297460 Enrollment ID: I20190329000279 |
Provider Name | Melvys Piloto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629544614 PECOS PAC ID: 5092729996 Enrollment ID: I20190405001397 |
Provider Name | Alcides Morejon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194288951 PECOS PAC ID: 8729313770 Enrollment ID: I20190712000391 |
Provider Name | Rosario Tucci |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598131708 PECOS PAC ID: 0547590416 Enrollment ID: I20190919003273 |
Provider Name | Noy P Delgado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548812324 PECOS PAC ID: 2163752411 Enrollment ID: I20190930000819 |
Provider Name | Rosa Luisa Castro Caceres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548812753 PECOS PAC ID: 0648603571 Enrollment ID: I20191209000430 |
Provider Name | Yanelys Quevedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700373578 PECOS PAC ID: 7315372802 Enrollment ID: I20200109002426 |
Provider Name | Maria Gomez Padron |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841795747 PECOS PAC ID: 9133556335 Enrollment ID: I20200228000588 |
Provider Name | Alberto Orta Iglesias |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386167575 PECOS PAC ID: 0941621072 Enrollment ID: I20200528000874 |
Provider Name | Barbara Cerdeira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528570512 PECOS PAC ID: 0840611554 Enrollment ID: I20200605000074 |
Provider Name | Victoria Roque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801436910 PECOS PAC ID: 2860816279 Enrollment ID: I20200717002768 |
Provider Name | Yadira Blanco Labori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972085512 PECOS PAC ID: 2062823230 Enrollment ID: I20201118002236 |
Provider Name | Yanelis Trujillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205380896 PECOS PAC ID: 0648681700 Enrollment ID: I20201120000343 |
Provider Name | Alina R Martinez Duenas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558842161 PECOS PAC ID: 6709143985 Enrollment ID: I20201223000043 |
Provider Name | Heliodoro Ruiz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1831529932 PECOS PAC ID: 6608289921 Enrollment ID: I20210106000746 |
Provider Name | Hailys Lezcano Vento |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265037691 PECOS PAC ID: 4082028782 Enrollment ID: I20210120001555 |
Provider Name | Ana I Yartu Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952900656 PECOS PAC ID: 8729492764 Enrollment ID: I20210202002103 |
Provider Name | Anabel Nunez Suarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063010643 PECOS PAC ID: 3476632787 Enrollment ID: I20210211003162 |
Provider Name | Katherine Perez Burgos |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1164487427 PECOS PAC ID: 6507809589 Enrollment ID: I20210304001029 |
Provider Name | Leonel Urquiaga Mirabal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245713676 PECOS PAC ID: 8426465675 Enrollment ID: I20210406000588 |
Provider Name | Yarelis Reyes Valdes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407390164 PECOS PAC ID: 8022417229 Enrollment ID: I20210520000379 |
Provider Name | Ilsys Md Martinez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1912503582 PECOS PAC ID: 8426454083 Enrollment ID: I20210907001459 |
Provider Name | Yaydali Villalon Tores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205411865 PECOS PAC ID: 3971900093 Enrollment ID: I20210916000599 |
Provider Name | Jose I Del Risco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639773377 PECOS PAC ID: 7517224405 Enrollment ID: I20210920003542 |
Provider Name | Alien R Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558825463 PECOS PAC ID: 1850626557 Enrollment ID: I20210921003353 |
Provider Name | Carlos Hernandez Vazquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003456021 PECOS PAC ID: 6507263233 Enrollment ID: I20210923000947 |
Provider Name | Elsa B Veiga Del Riego |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295211779 PECOS PAC ID: 3971901901 Enrollment ID: I20211006000708 |
Provider Name | Bania Pedraja Fuentes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366021057 PECOS PAC ID: 7416355268 Enrollment ID: I20211007002713 |
Provider Name | Yudit Lopez Pena |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679170187 PECOS PAC ID: 3476951872 Enrollment ID: I20211015002112 |
Provider Name | German Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689786063 PECOS PAC ID: 2961450366 Enrollment ID: I20211018000473 |
Provider Name | Raisa Valdes Morales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821763707 PECOS PAC ID: 1850799180 Enrollment ID: I20211018000839 |
Provider Name | Milkos Hernandez Alvarez. |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386174977 PECOS PAC ID: 5597021204 Enrollment ID: I20211019002280 |
Provider Name | Dania Dross Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316545338 PECOS PAC ID: 5799173050 Enrollment ID: I20211020000032 |
Provider Name | Liudmila Prieto Ribero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689226219 PECOS PAC ID: 0143618116 Enrollment ID: I20211025000135 |
Provider Name | Lucia Cordero Marante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235716960 PECOS PAC ID: 4789072653 Enrollment ID: I20211026001190 |
Provider Name | Martha Suarez Del Villar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710552401 PECOS PAC ID: 7315335288 Enrollment ID: I20211026001252 |
Provider Name | Joel Curra Fabra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073181285 PECOS PAC ID: 4183012883 Enrollment ID: I20211029001478 |
Provider Name | Mariol Paez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265038483 PECOS PAC ID: 9032499249 Enrollment ID: I20211103001045 |
Provider Name | Raisa Duran Menendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962010926 PECOS PAC ID: 9537557939 Enrollment ID: I20211103001339 |
Provider Name | Giselle Cabezas Valdes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508329210 PECOS PAC ID: 5597153940 Enrollment ID: I20211104000392 |
Provider Name | Yuralis Santamaria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982256889 PECOS PAC ID: 5496144206 Enrollment ID: I20211117001507 |
Provider Name | Alina Padron Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033356308 PECOS PAC ID: 8325437056 Enrollment ID: I20211117002753 |
Provider Name | Decire Espinoza Mendoza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851983316 PECOS PAC ID: 1850781766 Enrollment ID: I20211208003144 |
Provider Name | Misael Montero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477138220 PECOS PAC ID: 9133511777 Enrollment ID: I20220111002853 |
Provider Name | Nelva Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144993445 PECOS PAC ID: 8123411907 Enrollment ID: I20220201000459 |
Provider Name | Ariagna Escalante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386304111 PECOS PAC ID: 8628227311 Enrollment ID: I20220321002170 |
Provider Name | Maria Brauet Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750876611 PECOS PAC ID: 9436546314 Enrollment ID: I20220422001590 |
Provider Name | Caridad Valdes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609522788 PECOS PAC ID: 5991182636 Enrollment ID: I20220518000602 |
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