Healthcare Provider Details

I. General information

NPI: 1316245319
Provider Name (Legal Business Name): CENTRO LAS AMERICAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SYCAMORE ST
WORCESTER MA
01608-2213
US

IV. Provider business mailing address

11 SYCAMORE ST
WORCESTER MA
01608-2213
US

V. Phone/Fax

Practice location:
  • Phone: 508-798-1900
  • Fax: 508-798-1908
Mailing address:
  • Phone: 508-798-1900
  • Fax: 508-798-1908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. JUAN ALFONSO GOMEZ
Title or Position: PRESIDENT & CEO
Credential: DHS, MPA
Phone: 508-798-1900