CENTRO MEDICO LLC
NPI 1619636610
Clinic/Center - Health Service in Cape Coral, FL
About Centro Medico Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRO MEDICO LLC (NPI 1619636610) is a healthcare organization registered as a health service in Cape Coral, Florida and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Jocelin Joseph, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 10D2132858
Centro Medico LLC · Cape Coral, FLOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
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 LLC's NPI number?
The NPI number for Centro Medico LLC is 1619636610. It was assigned to this organization in the NPPES registry on December 17, 2021.
Where is Centro Medico LLC located?
Centro Medico LLC is located at 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990. The listed phone number is (239) 257-1167.
What is Centro Medico LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Centro Medico LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2132858) is associated with this NPI, valid through June 28, 2027. 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 LLC was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Centro Medico Llc · NPI 1619636610
Health Service organization in Cape Coral, Florida. Organization record, active in the CMS NPPES registry since December 17, 2021.
## Identity
- **NPI:** 1619636610 (Entity type: Organization)
- **Enumerated:** December 17, 2021
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** CENTRO MEDICO LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jocelin Joseph, PRESIDENT
## Practice location
- **Address:** 1425 VISCAYA PKWY STE 101, Cape Coral, FL 33990-3294
- **Phone:** (239) 257-1167
## Record status
- **NPPES last updated:** December 17, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619636610) · Data from the CMS NPPES public registry.