Clinica Latina Divino Nazareno LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA LATINA DIVINO NAZARENO LLC

Practice address

4458 S Staples St
Corpus Christi, TX 78411-2602

Phone

(361) 236-4382

Fax

(281) 298-6655

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Elio Gonzalez Miranda, FNP

Title

FNP

Phone

(361) 236-4382

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.

• Enrique Torralba Sanchez, APRN-CNP

  • Family Nurse Practitioner
  • Temple Terrace, FL
  • NPI 1366144388
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1710618210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4458 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112602",
            "telephone_number": "361-236-4382",
            "fax_number": "281-298-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4458 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112602",
            "telephone_number": "361-236-4382",
            "fax_number": "281-298-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LATINA DIVINO NAZARENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MIRANDA",
        "authorized_official_first_name": "ELIO",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "361-236-4382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "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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• Wilbur Cleaves, MD
• McCoy Clementson, DO
• Whitney Rose Cline, NP
• Clinical Partners Corpus
• Clinical Partners PA
• Charles Brandon Close, D.O.
• Clover Senior Care
• Cory Wayne Cluff, PT

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.