Provider Demographics
NPI:1265230957
Name:CENTENNIAL FINEST GROUP CORP
Entity type:Organization
Organization Name:CENTENNIAL FINEST GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRABAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-298-9565
Mailing Address - Street 1:1550 MADRUGA AVE STE 323
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3085
Mailing Address - Country:US
Mailing Address - Phone:786-298-6595
Mailing Address - Fax:
Practice Address - Street 1:1550 MADRUGA AVE STE 323
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3085
Practice Address - Country:US
Practice Address - Phone:786-298-6595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center