Consultorio Medico Hispano

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

RN220493 Issued in GA

Legal business name

CONSULTORIO MEDICO HISPANO

Practice address

3182 Shallowford Rd NE
Chamblee, GA 30341-3640

Phone

(678) 557-8292

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonio Molina

Title

Business Manager

Phone

(678) 557-8292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adolfo Felix Molina, M.D.

  • Family Medicine Physician
  • Chamblee, GA
  • NPI 1609936566
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1497205991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 SHALLOWFORD RD NE",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 SHALLOWFORD RD NE",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413640",
            "telephone_number": "678-557-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO MEDICO HISPANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "678-557-8292"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "RN220493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Maternidad de Atlanta LLC
• Clinica Sagrado Corazon de Jesus LLC
• Clinica Vital, LLC
• CNS Doc LLC (Perimeter Chiropractic & Wellness Center)
• Ovynel Colon, DC
• Lawanda B Cooke, CD-B/P
• Monique Corbett
• Gloria Denise Cordero, FNP-C
• Milagros J Cordero
• Cynthia Manning Cosson, LPC

• Community Health Clinic/Center in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.