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Organization
CENTENO-CISNEROS MEDICAL GROUP INC
Active
Organization
CENTENO-CISNEROS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CENTENO APRN (PROVIDER/OWNER)
(305) 283-3495
Entity
Organization
Contact information
Practice address
1300 NW 15TH ST, HOMESTEAD, FL 33030-3958
(305) 283-3495
Mailing address
1300 NW 15TH ST, HOMESTEAD, FL 33030-3958
(305) 283-3495
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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