Clinica Maternidad de Atlanta LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CLINICA MATERNIDAD DE ATLANTA LLC

Practice address

3652 Chamblee Dunwoody Rd Ste 2
Chamblee, GA 30341-2120

Phone

(404) 809-2006

Fax

(404) 737-8236

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By 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

Santiago A Torres

Title

Owner

Phone

(404) 809-2006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1720784234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 CHAMBLEE DUNWOODY RD STE 2",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412120",
            "telephone_number": "404-809-2006",
            "fax_number": "404-737-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 CHAMBLEE DUNWOODY RD STE 2",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412120",
            "telephone_number": "404-809-2006",
            "fax_number": "404-737-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MATERNIDAD DE ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-809-2006"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.