Cudahy Physician Associates

LBN: Clinica Latina, S.C.
Cudahy Physician Associates is an health care organization with primary practice located at 1238 S Cesar E Chavez Dr , Milwaukee WI 53204-2267. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clinica Latina, S.C. can be contacted via phone (414) 645-6665, or through Aponte, Leonardo via phone (414) 645-6665.

Contact Information

Primary practice address
1238 S Cesar E Chavez Dr Milwaukee WI 53204-2267
Phone: (414) 645-6665
Fax: (414) 645-6732
Website:
Map and Directions
Authorized official contact:
Name: Aponte, Leonardo Doctor of Medicine (MD)
Phone: (414) 645-6665

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1518940543
LBN Legal business name Clinica Latina, S.C.
DBA Doing business as Cudahy Physician Associates
Authorized official Aponte, Leonardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518940543 NPPES
Wisconsin Other 52D0692638 CLIA
Wisconsin MEDICAID 32740300 CLIA

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