Centro de Salud Familiar II , LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRO DE SALUD FAMILIAR II , LLC

Practice address

4921 Jonesboro Rd
Suite E
Forest Park, GA 30297-4301

Phone

(404) 361-0303

Fax

(404) 361-0353

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eliseo Vallejo

Title

Manager

Phone

(404) 361-0303

Specialties & licenses 1

Addresses

Other names 1

• Centro De Salud Familiar,LLC Doing business as

Locations

Practitioners 1

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

• Jair Emilio Millan

  • Family Nurse Practitioner
  • Forest Park, GA
  • NPI 1245164649
  NPD (past)

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1396974853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 JONESBORO RD",
            "address_2": "SUITE E",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302974301",
            "telephone_number": "404-361-0303",
            "fax_number": "404-361-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 JONESBORO RD",
            "address_2": "SUITE E",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302974301",
            "telephone_number": "404-361-0303",
            "fax_number": "404-361-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD FAMILIAR II , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "ELISEO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-361-0303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro De Salud Familiar,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.