Clinica Latina, SC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

19077 Issued in WI

Legal business name

CLINICA LATINA, SC

Practice address

1238 S Cesar E Chavez Dr
Milwaukee, WI 53204-2267

Phone

(414) 645-6665

Fax

(414) 645-6732

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By 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

Dandre Lashawn Turner

Title

Office Manager

Phone

(414) 645-6665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1619289782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042267",
            "telephone_number": "414-645-6665",
            "fax_number": "414-645-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042267",
            "telephone_number": "414-645-6665",
            "fax_number": "414-645-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LATINA, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DANDRE",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-645-6665"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "19077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Cline, PA-C
• John Cline, M.D.
• Clinic of Cosmetic Surgery SC
• Clinic of Urology SC
• Clinica Latina, S.C. (Cudahy Physician Associates)
• Clinica Panamericana LLC
• Andrew Clithero, D.O.
• Kelsie Rae Closson
• Jeanne L Clow, O.T.
• Tina Cloyd-Brooks, APSW

• Health Maintenance Organization in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Health Maintenance Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.