LATIN ENRICHMENT ORGANIZATION LLC NPI 1356939656

NPI Information

  • NPI: 1356939656
  • Provider Name: LATIN ENRICHMENT ORGANIZATION LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: LEO CLINIC
  • CLIA Number: 07D2285518
  • Address: 54 FOREST ST
    HARTFORD, CT
    ZIP 06105
  • Phone: (860) 249-0975

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NPI Details

LATIN ENRICHMENT ORGANIZATION LLC is a primary care clinic center in Hartford, CT. LATIN ENRICHMENT ORGANIZATION LLC NPI is 1356939656. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Leo Clinic.

The provider's business location address is:

54 FOREST ST
HARTFORD, CT
ZIP 06105-204
Phone: (860) 249-0975

The provider's authorized official is Carlos Marrero .
The authorized official title is Director and has the following contact phone number (860) 249-0975.

The CLIA number assigned to this NPI record is 07D2285518 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2021 and was last updated on 5/18/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2363LP2300XNurse PractitionerPrimary CareNo
3261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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