NPIMap

Organization Active NPI

Latino Health Institute Inc

  • Clinic/Center
  • Brockton,, MA
National Provider Identifier
1063546232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
41TC Issued in MA
Legal business name
LATINO HEALTH INSTITUTE INC
Practice address
142 Crescent Street, Second Floor
Brockton,, MA 02302
Phone
(508) 941-0005
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eduardo Aguilu
Title
Executive Director of Operations
Phone
(617) 350-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 41TC MA Primary

Addresses

Primary practice location

142 Crescent Street, Second Floor
Brockton,, MA 02302

Mailing address

142 Crescent Street, Second Floor
Brockton,, MA 02302

Other identifiers 1

IdentifierTypeStateIssuer
1317679MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Latino Health Institute Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063546232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CRESCENT STREET, SECOND FLOOR",
            "city": "BROCKTON,",
            "state": "MA",
            "postal_code": "02302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CRESCENT STREET, SECOND FLOOR",
            "city": "BROCKTON,",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-941-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO HEALTH INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILU",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "617-350-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "41TC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317679",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton,, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.