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CENTRO MEDICO DOCTOR PRIMARIO LLC
NPI 1184321580
Clinic/Center - Primary Care in Little Elm, TX

Active since February 15, 2023CLIA 45D2269383 · Waiver
407 W ELDORADO PKWY STE 100, LITTLE ELM, TX 75068(469) 579-5233(469) 579-5234 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Centro Medico Doctor Primario Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO MEDICO DOCTOR PRIMARIO LLC (NPI 1184321580) is a healthcare organization registered as a primary care in Little Elm, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Orestes Becerra, Manager, as its authorized official.

NPPES Registry Identity

NPI1184321580
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCENTRO MEDICO DOCTOR PRIMARIO LLC
Location Address407 W ELDORADO PKWY STE 100Little Elm, TX 75068-5076
Mailing Address9013 Tumbleweed DrCrossroads, TX 76227-2293
Phone(469) 579-5233
Fax(469) 579-5234
Organization SubpartNo
Authorized OfficialOrestes BecerraManager · (972) 333-9665
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1184321580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
407 W ELDORADO PKWY STE 100, Little Elm, TX 75068
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2269383

Centro Medico Doctor Primario · Little Elm, TX
Active · expires Sep 25, 2026
CLIA Number45D2269383
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorYairis Perez Parodis
Laboratory Phone(469) 579-5233
Laboratory LocationCentro Medico Doctor Primario407 W Eldorado Pkwy Suite 100, Little Elm, TX 75068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro Medico Doctor Primario LLC's NPI number?

The NPI number for Centro Medico Doctor Primario LLC is 1184321580. It was assigned to this organization in the NPPES registry on February 15, 2023.

Where is Centro Medico Doctor Primario LLC located?

Centro Medico Doctor Primario LLC is located at 407 W Eldorado Pkwy Ste 100, Little Elm, TX 75068. The listed phone number is (469) 579-5233.

What is Centro Medico Doctor Primario LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Centro Medico Doctor Primario LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2269383) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centro Medico Doctor Primario LLC was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.