NPIMap

Organization Active NPI

Clinica Union, Inc

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1386868263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017546 Issued in GA
Legal business name
CLINICA UNION, INC
Practice address
3369 Buford Hwy NE
Suite 810
Atlanta, GA 30329-3722
Phone
(404) 321-4692
NPI assigned
Apr 12, 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
Pablo Quintanilla, M.D
Title
Director
Phone
(404) 321-4692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 017546 GA Primary

Addresses

Primary practice location

3369 Buford Hwy NE
Suite 810
Atlanta, GA 30329-3722

Mailing address

3369 Buford Hwy NE
Suite 810
Atlanta, GA 30329-3722
Phone (404) 321-4692

National Provider Directory

National Provider Directory

Locations

3369 Buford Hwy NE
#810
Brookhaven, GA 30329
Phone (404) 321-4692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386868263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 BUFORD HWY NE",
            "address_2": "SUITE 810",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293722",
            "telephone_number": "404-321-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 BUFORD HWY NE",
            "address_2": "SUITE 810",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293722",
            "telephone_number": "404-321-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA UNION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-321-4692",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "017546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

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.