MEDICARE: CENTOS NURSING CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	9228624	FL

General Provider Information

NPI Number	:	1275823395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTOS NURSING CARE INC

Provider Business Mailing Address
First Line	:	400 SUNNY ISLES BLVD APT 1603
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-5093
Country	:	US
Telephone Number	:	786-333-2490
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 SUNNY ISLES BLVD APT 1603
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-5093
Country	:	US
Telephone Number	:	786-333-2490
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANABEL CENTO
Credential	:	ARNP
Telephone Number	:	786-333-2490

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	10/24/2017

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