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CENTRO MEDICO LATINO PC NPI 1164884821


NPI Information

NPI: 1164884821
Provider Name: CENTRO MEDICO LATINO, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D1076792

Address:
3541 RANDOLPH RD
STE 303
CHARLOTTE, NC
ZIP 28211
Phone: (704) 333-0465
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CENTRO MEDICO LATINO, PC is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRO MEDICO LATINO, PC NPI is 1164884821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3541 RANDOLPH RD
STE 303
CHARLOTTE, NC
ZIP 28211-082
Phone: (704) 333-0465
Fax: (704) 333-0466

The provider's authorized official is Carlos Meyer Rish .
The authorized official title is Owner/medical Doctor and has the following contact phone number (704) 333-0465.

The CLIA number assigned to this NPI record is 34D1076792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.


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
1207Q00000XFamily MedicineYes

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: 4/28/2024

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