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General NPI Number Information
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NPI Number | 1881461630
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Entity Type | Organization
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Legal Business Name | CENTENNIAL MEDICAL CENTERS, LLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2601 SW 37TH AVE STE 802
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City | MIAMI
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State | FL
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Zip | 33133-2751
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Country | US
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Telephone | 786-359-4312
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Fax | 786-542-5092
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Provider Business Mailing Address
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Address Line | 2601 SW 37TH AVE STE 802
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City | MIAMI
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State | FL
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Zip | 33133-2751
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Country | US
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Telephone | 786-359-4312
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Fax | 786-542-5092
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Authorized Official
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Title or Position | MGR
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Name | JOEL GONZALEZ
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Credential | MD
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Telephone | 786-359-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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