CENTRUM MEDICAL GROUP, PLLC – NPI #1184379521
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

CENTRUM MEDICAL GROUP, PLLC is a provider located in HOUSTON, TX. NPPES has assigned the NPI number 1184379521 to CENTRUM MEDICAL GROUP, PLLC on February 15, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRUM MEDICAL GROUP, PLLC below.

NPI Profile for
CENTRUM MEDICAL GROUP, PLLC

NPI Number
1184379521
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRUM MEDICAL GROUP, PLLC
Primary location
10725 EASTEX FREEWAY
HOUSTON, TX 77093
Phone: (800) 218-8989 Fax: (786) 558-0242
Mailing address
9250 NW 36TH ST STE 420
DORAL, FL 33178-2775
Phone: (305) 266-2929 Fax:
Organization Subpart
No
Authorized Official
GRACIELA VICTORERO
C00
Phone: (305) 266-2929
Updated
Certification Date
Jan 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.