Provider Demographics
NPI:1811629157
Name:CENTURY HEALTH INC
Entity type:Organization
Organization Name:CENTURY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAOUL TOSHIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIALCITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-775-1193
Mailing Address - Street 1:2125 BISCAYNE BLVD STE 219
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5029
Mailing Address - Country:US
Mailing Address - Phone:786-788-0244
Mailing Address - Fax:
Practice Address - Street 1:2125 BISCAYNE BLVD STE 219
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5029
Practice Address - Country:US
Practice Address - Phone:786-788-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty