Provider Demographics
NPI:1275823395
Name:CENTOS NURSING CARE INC
Entity Type:Organization
Organization Name:CENTOS NURSING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CENTO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-333-2490
Mailing Address - Street 1:400 SUNNY ISLES BLVD APT 1603
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5093
Mailing Address - Country:US
Mailing Address - Phone:786-333-2490
Mailing Address - Fax:
Practice Address - Street 1:400 SUNNY ISLES BLVD APT 1603
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5093
Practice Address - Country:US
Practice Address - Phone:786-333-2490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9228624363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty