Organization
CENTRO MEDICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHAIRA SANTIAGO (OWNER)
(239) 633-9046
Entity
Organization
Contact information
Practice address
1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990
(239) 257-1167
(239) 236-1200
Mailing address
1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3294
(239) 257-1167
(239) 236-1200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
06/26/2019
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