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General NPI Number Information
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NPI Number | 1972436046
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Entity Type | Organization
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Legal Business Name | CENTRO VIDA SANA LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 12917 W BELLFORT AVE
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City | SUGAR LAND
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State | TX
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Zip | 77478-1838
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Country | US
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Telephone | 561-541-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 12917 W BELLFORT AVE
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City | SUGAR LAND
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State | TX
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Zip | 77478-1838
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Country | US
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Telephone | 561-541-1601
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE (RN)
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Name | MR. NIOVERT GUEVARA FIGUEROA SR.
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Credential | RN
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Telephone | 832-836-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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