Clinica Panamericana Llc

LBN: Clinica Panamericana Llc
Clinica Panamericana Llc is an health care organization with primary practice located at 1225 W Historic Mitchell St 211, Milwaukee WI 53204-3383. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Clinica Panamericana Llc can be contacted via phone (414) 389-0166, or through Goitia, Hugo F via phone (414) 389-0166.

Contact Information

Primary practice address
1225 W Historic Mitchell St 211 Milwaukee WI 53204-3383
Phone: (414) 389-0166
Fax: (414) 643-1003
Website:
Map and Directions
Authorized official contact:
Name: Goitia, Hugo F Doctor of Medicine (MD)
Phone: (414) 389-0166

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 26560-20 Wisconsin

Profile Details

NPI number 1003108515
LBN Legal business name Clinica Panamericana Llc
DBA Doing business as
Authorized official Goitia, Hugo F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2011
Last updated May 3rd, 2011 - about 13 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 1003108515 NPPES
Wisconsin MEDICAID 30639900

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