OrganizationActive
Centrum Medical Group, PLLC
NPI 1710630074 · General Practice Physician · Fort Worth, TX
Provider details
- NPI number
- 1710630074
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vanessa Victorero, Coo(305) 266-2929
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5801 Golden Triangle Blvd Ste 101
Fort Worth, TX 76244-4411
Phone: (800) 218-8989
Fax: (786) 558-0242
Street-level locationGet directions
Mailing address
9250 Nw 36th St Ste 420
Doral, FL 33178-2775
Registry dates
- Enumerated
- 2022-01-27
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.