CENTRO MEDICO LLC
NPI 1679097273
Clinic/Center - Primary Care in Cape Coral, FL

Q: What is Centro Medico LLC's NPI number?

The NPI number for Centro Medico LLC is 1679097273. It was assigned to this organization in the NPPES registry on July 26, 2017.

Q: What is Centro Medico LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Centro Medico LLC was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 26, 2017

1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990(239) 257-1167(239) 236-1200 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2018, May 3, 2018, Jul 26, 2017 (3 updates tracked since 2017).

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About Centro Medico Llc NPPES

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

CENTRO MEDICO LLC (NPI 1679097273) is a healthcare organization registered as a primary care in Cape Coral, Florida and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Cape Coral and lists Yahaira Santiago, Owner, as its authorized official.

NPPES Registry Identity

NPI1679097273

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCENTRO MEDICO LLC

Location Address1425 VISCAYA PKWY STE 101Cape Coral, FL 33990

Mailing Address1425 Viscaya Pkwy Ste 101Cape Coral, FL 33990-3294 · (239) 257-1167 · Fax (239) 236-1200

Phone(239) 257-1167

Fax(239) 236-1200

Organization SubpartNo

Authorized OfficialYahaira SantiagoOwner · (239) 633-9046

Enumeration DateJuly 26, 2017

Last NPPES UpdateJune 26, 20193 updates tracked since enumeration

✔ NPI 1679097273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1425 VISCAYA PKWY STE 101, Cape Coral, FL 33990

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Secondary Practice Location 1

Location 11425 Viscaya Pkwy Ste 101Cape Coral, FL 33990 · Phone (239) 257-1167 · Fax (239) 236-1200

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUNETTE BASTIEN MEDICAL SERVICES LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))