Centurion, Jose J

Centurion, Jose J is an individual health care provider with primary practice located at 9526 Ne 2Nd Ave #102, Miami Shores FL 33138-2750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Centurion, Jose J can be contacted via phone (305) 751-0007.

Contact Information

Primary practice address
9526 Ne 2Nd Ave #102 Miami Shores FL 33138-2750
Fax: (305) 754-4947
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME43332 Florida

Profile Details

NPI number 1376532655
LBN Legal business name Centurion, Jose J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 28th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376532655 NPPES
Florida MEDICAID 056481800

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