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CLINICA PANAMERICANA LLC NPI 1003108515


NPI Information

NPI: 1003108515
Provider Name: CLINICA PANAMERICANA LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1225 W HISTORIC MITCHELL ST
211
MILWAUKEE, WI
ZIP 53204
Phone: (414) 389-0166
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CLINICA PANAMERICANA LLC is a point of service in Milwaukee, WI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CLINICA PANAMERICANA LLC NPI is 1003108515. The provider is registered as an organization entity type.

The provider's business location address is:

1225 W HISTORIC MITCHELL ST
211
MILWAUKEE, WI
ZIP 53204-383
Phone: (414) 389-0166
Fax: (414) 643-1003

The provider's authorized official is Hugo F Goitia .
The authorized official title is President and has the following contact phone number (414) 389-0166.

The enumeration date for this NPI number is 5/3/2011 and was last updated on 5/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service26560-20WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130639900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.