Clinica de la Salud Hispana LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLINICA DE LA SALUD HISPANA LLC

Doing business as

Clinica de la Salud Hispana

Practice address

969 Windy Hill Rd SE
Suite E
Smyrna, GA 30080-2003

Phone

(678) 888-0173

Fax

(678) 888-0177

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Edgar Miguel Velez

Title

Manager

Phone

(678) 888-0173

Specialties & licenses 1

Addresses

Other names 1

• Clinica de la Salud Hispana Doing business as

Tax ID family

Clinica de la Salud Hispana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Clinica de la Salud Hispana

  • Health Service Clinic/Center
  • Chamblee, GA
  • NPI 1861561532
  NPD tax ID

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1093985343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL RD SE",
            "address_2": "SUITE E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802003",
            "telephone_number": "678-888-0173",
            "fax_number": "678-888-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL RD SE",
            "address_2": "SUITE E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802003",
            "telephone_number": "678-888-0173",
            "fax_number": "678-888-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LA SALUD HISPANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-888-0173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de la Salud Hispana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cobb County Board of Health (Smyrna Public Health Center)
• Cobb County Community Services Board

• General Practice Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.