Consultorio Medico Latino, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONSULTORIO MEDICO LATINO, LLC

Practice address

9501 Long Point Rd
Suite R
Houston, TX 77055-4253

Phone

(713) 485-6758

Fax

(832) 236-9682

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Gladys V. Santana

Title

Owner

Phone

(713) 485-6758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1659768794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 LONG POINT RD",
            "address_2": "SUITE R",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554253",
            "telephone_number": "713-485-6758",
            "fax_number": "832-236-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 LONG POINT RD",
            "address_2": "SUITE R",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554253",
            "telephone_number": "713-485-6758",
            "fax_number": "832-236-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO MEDICO LATINO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-485-6758"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Houston, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.