Organization Active NPI

Clinica Salud Latina 2 LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1457726689
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLINICA SALUD LATINA 2 LLC
Practice address
12665 Veterans Memorial Dr
G
Houston, TX 77014-2100
Phone
(281) 583-1330
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Walter Zulueta
Title
Owner
Phone
(281) 583-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TX Primary

Addresses

Primary practice location

12665 Veterans Memorial Dr
G
Houston, TX 77014-2100

Mailing address

12665 Veterans Memorial Dr
G
Houston, TX 77014-2100
Phone (281) 583-1330

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2226231Clinica Salud Latina12665 Veterans Memorial Ste G, Houston, TX 77014Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

12665 Veterans Memorial Dr
Ste G
Houston, TX 77014
Phone (281) 583-1330

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1457726689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 VETERANS MEMORIAL DR",
            "address_2": "G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142100",
            "telephone_number": "281-583-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 VETERANS MEMORIAL DR",
            "address_2": "G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142100",
            "telephone_number": "281-583-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SALUD LATINA 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "ZULUETA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-583-1330"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.