Organization Active NPI

Hispanic Medical Center, SC

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1487602231
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28130 Issued in WI
Legal business name
HISPANIC MEDICAL CENTER, SC
Practice address
3527 W National Ave
Milwaukee, WI 53215-1024
Phone
(414) 384-8930
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Alvaro Aleman, MDNPI 1780645879
Title
Owner
Phone
(414) 384-8930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 28130 WI Primary

Addresses

Primary practice location

3527 W National Ave
Milwaukee, WI 53215-1024

Mailing address

3527 W National Ave
Milwaukee, WI 53215-1024
Phone (414) 384-8930

Other identifiers 1

IdentifierTypeStateIssuer
32867900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060615000290 WI Part B Supplier - Clinic/Group Practice 9739191693 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

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
52D0924666Hispanic Medical Center3527 W National Ave, Milwaukee, WI 53215Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

Locations

3527 W National Ave
Milwaukee, WI 53215
Phone (414) 384-8930

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1487602231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151024",
            "telephone_number": "414-384-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151024",
            "telephone_number": "414-384-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC MEDICAL CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-384-8930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32867900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.