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CENTRO DE SALUD PRIMARIA LLC
NPI 1649706110
General Practice in Hollywood, FL

Active since May 03, 2017CLIA 10D2340189 · Waiver
4801 HOLLYWOOD BLVD, SUITE B, HOLLYWOOD, FL 33021(954) 927-5382 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Centro De Salud Primaria Llc NPPES

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

CENTRO DE SALUD PRIMARIA LLC (NPI 1649706110) is a healthcare organization registered as a general practice in Hollywood, Florida and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Andres Ozual, Manager, as its authorized official.

NPPES Registry Identity

NPI1649706110
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRO DE SALUD PRIMARIA LLC
Location Address4801 HOLLYWOOD BLVD, SUITE BHollywood, FL 33021-6545
Mailing Address4801 Hollywood Blvd, Suite BHollywood, FL 33021-6545 · (954) 927-5382
Phone(954) 927-5382
Organization SubpartNo
Authorized OfficialAndres OzualManager · (954) 927-5382
Enumeration DateMay 3, 2017
✔ NPI 1649706110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4801 HOLLYWOOD BLVD, Hollywood, FL 33021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centro De Salud Primaria Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Centro De Salud Primaria LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andres Ozual, MD
General Practice
NPI 1184739336
4801 HOLLYWOOD BLVD STE B
Hollywood, FL 33021
(954) 927-5905
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2340189

Centro De Salud Primaria, LLC · Hollywood, FL
Active · expires Mar 12, 2028
CLIA Number10D2340189
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorAnibal Reinier Cabrera Lopez
Laboratory Phone(954) 927-5905
Laboratory LocationCentro De Salud Primaria, LLC4801 Hollywood Blvd Ste B, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name
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 De Salud Primaria LLC's NPI number?

The NPI number for Centro De Salud Primaria LLC is 1649706110. It was assigned to this organization in the NPPES registry on May 3, 2017.

Where is Centro De Salud Primaria LLC located?

Centro De Salud Primaria LLC is located at 4801 Hollywood Blvd Suite B, Hollywood, FL 33021. The listed phone number is (954) 927-5382.

What is Centro De Salud Primaria LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Centro De Salud Primaria LLC enrolled in Medicare?

Yes. Centro De Salud Primaria LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centro De Salud Primaria LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Centro De Salud Primaria LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centro De Salud Primaria LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2340189) is associated with this NPI, valid through March 12, 2028. 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 De Salud Primaria LLC was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.