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Contact Information

CLINICA PANAMERICANA LLC
1225 W HISTORIC MITCHELL ST
211
MILWAUKEE, WI53204-3383
 Phone: 414-389-0166
 Fax: 414-643-1003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for CLINICA PANAMERICANA LLC

NPI Number 1003108515
LBN Legal business name CLINICA PANAMERICANA LLC
Authorized official HUGO GOITIA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2011
Last updated 05/03/2011 - About 15 years ago
Identifiers
WI License # 26560-20
WI Medicaid 30639900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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