Centeno-Cisneros Medical Group INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Homestead, FL. Organization (NPI-2).
NPI number1447181763
StatusActive
Last updated in NPPESMay 26, 2026
Details
- NPI
- 1447181763
- Entity type
- Organization (NPI-2)
- Legal business name
- Centeno-Cisneros Medical Group INC
- Organization subpart
- No
- Enumeration date
- May 26, 2026
- Certification date
- May 26, 2026
- Last updated
- May 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
1300 Nw 15th StHomestead, FL 33030-3958
Phone 305-283-3495
Mailing address
1300 Nw 15th StHomestead, FL 33030-3958
Phone 305-283-3495
Authorized official
Diana Centeno
Provider/Owner
3052833495
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