CENTRO MEDICO INTEGRAL HISPANO LLC
NPI 1871287094
Nurse Practitioner - Family in Mesquite, TX

Active since June 08, 2023CLIA 45D2280575 · Waiver
2110 N GALLOWAY AVE STE 108, MESQUITE, TX 75150(305) 539-8084 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centro Medico Integral Hispano Llc NPPES

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

CENTRO MEDICO INTEGRAL HISPANO LLC (NPI 1871287094) is a healthcare organization registered as a family in Mesquite, Texas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Roselio Perez Garcia, Authorize Official/owner, as its authorized official.

NPPES Registry Identity

NPI1871287094
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTRO MEDICO INTEGRAL HISPANO LLC
Location Address2110 N GALLOWAY AVE STE 108Mesquite, TX 75150-5779
Mailing Address2110 N Galloway Ave Ste 108Mesquite, TX 75150-5779 · (305) 539-8084
Organization SubpartNo
Authorized OfficialRoselio Perez GarciaAuthorize Official/owner · (214) 647-1165
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
NPI 1871287094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2110 N GALLOWAY AVE STE 108, Mesquite, TX 75150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 45D2280575

Centro Medico Integral Hispano · Mesquite, TX
Active · expires Apr 20, 2027
CLIA Number45D2280575
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorRoselio Perez Garcia
Laboratory Phone(972) 634-4871
Laboratory LocationCentro Medico Integral Hispano2110 N Galloway Ave Ste 108, Mesquite, TX 75150
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2110 N GALLOWAY AVE STE 108
MESQUITE, TX 75150

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 Integral Hispano LLC's NPI number?

The NPI number for Centro Medico Integral Hispano LLC is 1871287094. It was assigned to this organization in the NPPES registry on June 8, 2023.

Where is Centro Medico Integral Hispano LLC located?

Centro Medico Integral Hispano LLC is located at 2110 N Galloway Ave Ste 108, Mesquite, TX 75150. The listed phone number is (305) 539-8084.

What is Centro Medico Integral Hispano LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Centro Medico Integral Hispano LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2280575) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centro Medico Integral Hispano LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Centro Medico Integral Hispano LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centro Medico Integral Hispano LLC was last updated on June 8, 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.