CLINICA MEDICA PRENATAL INC NPI 1689017170

NPI Information

NPI: 1689017170
Provider Name: CLINICA MEDICA PRENATAL INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2038401

Address:
4300 BUFORD HWY NE
SUITE: 216
ATLANTA, GA
ZIP 30345
Phone: (404) 636-8282
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CLINICA MEDICA PRENATAL INC is a primary care clinic center in Atlanta, GA. CLINICA MEDICA PRENATAL INC NPI is 1689017170. The provider is registered as an organization entity type.

The provider's business location address is:

4300 BUFORD HWY NE
SUITE: 216
ATLANTA, GA
ZIP 30345-003
Phone: (404) 636-8282
Fax: (404) 636-8286

The provider's authorized official is Esmerardo Cruz Morales .
The authorized official title is Owner/provider and has the following contact phone number (678) 521-1624.

The CLIA number assigned to this NPI record is 11D2038401 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 4/15/2013.

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
1	261QP2300X	Clinic/Center	Primary Care	00227204	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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