| Organization Name: | CENTURY MEDICAL GROUP, CORP |
| NPI Number: | 1649676479 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CIRIA ESTHER CASTRO (PRESIDENT) |
| Mailing Address: | 11300 Nw 87th Ct Suite #141 Hialeah Gardens |
| State: | FL US |
| Postal Code: | 330184586 |
| Phone Number: | 3053920257 |
| Fax Number: | 7863602989 |
| NPI Enumeration Date: | 11/05/2014 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | BL16276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |