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CENTRO MEDICO LATINO AMERICANO DE WEST PALM BEACH CORP NPI 1427286772


NPI Information

NPI: 1427286772
Provider Name: CENTRO MEDICO LATINO AMERICANO DE WEST PALM BEACH CORP
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D2044002

Address:
1217 S MILITARY TRL
SUITE C
WEST PALM BEACH, FL
ZIP 33415
Phone: (561) 642-6309
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CENTRO MEDICO LATINO AMERICANO DE WEST PALM BEACH CORP is a health service clinic center in West Palm Beach, FL. CENTRO MEDICO LATINO AMERICANO DE WEST PALM BEACH CORP NPI is 1427286772. The provider is registered as an organization entity type.

The provider's business location address is:

1217 S MILITARY TRL
SUITE C
WEST PALM BEACH, FL
ZIP 33415-600
Phone: (561) 642-6309
Fax: (561) 642-6586

The provider's authorized official is Ricardo Martinez .
The authorized official title is President and has the following contact phone number (786) 395-6708.

The CLIA number assigned to this NPI record is 10D2044002 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 2/21/2022.


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
1261QH0100XClinic/CenterHealth ServiceYes

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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