Healthcare Provider Details

I. General information

NPI: 1972436046
Provider Name (Legal Business Name): CENTRO VIDA SANA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12917 W BELLFORT AVE
SUGAR LAND TX
77478-1838
US

IV. Provider business mailing address

11001FONDREN RD STE A
HOUSTON TX
77096
US

V. Phone/Fax

Practice location:
  • Phone: 832-294-0199
  • Fax:
Mailing address:
  • Phone: 561-541-1601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NIOVERT GUEVARA FIGUEROA SR.
Title or Position: REGISTERED NURSE (RN)
Credential: RN
Phone: 832-836-8729