| Centro Medico Latino, PC | |
|
3541 Randolph Rd Ste 303 Charlotte NC 28211-1082 | |
| (704) 333-0465 | |
| (704) 333-0466 |
| Full Name | Centro Medico Latino, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 3541 Randolph Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Carlos Meyer Rish (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 7043330465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Latino, PC 3541 Randolph Rd Ste 303 Charlotte NC 28211-1082 Ph: (704) 333-0465 | Centro Medico Latino, PC 3541 Randolph Rd Ste 303 Charlotte NC 28211-1082 Ph: (704) 333-0465 |
| NPI Number | 1164884821 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Medicare PECOS PAC ID | 3072812189 |
|---|---|
| Medicare Enrollment ID | O20160425000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164884821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Auxiliadora Krupskaya Valdiviezo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447424338 PECOS PAC ID: 6305918830 Enrollment ID: I20080627000511 |
| Provider Name | Alvaro a Gomes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548240575 PECOS PAC ID: 2264420538 Enrollment ID: I20100914000560 |
| Provider Name | Carlos Rish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982757027 PECOS PAC ID: 0941427470 Enrollment ID: I20160425000642 |
| Provider Name | Erika Sofia Fulop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174114011 PECOS PAC ID: 0840698478 Enrollment ID: I20211012000683 |
| Provider Name | Elizabeth Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588264527 PECOS PAC ID: 8022596022 Enrollment ID: I20260131000018 |
| Provider Name | Mariagracia Lucia Rojas |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1013699636 PECOS PAC ID: 4587143854 Enrollment ID: I20260206002051 |
| Provider Name | Stephanie Cecelia Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640735 PECOS PAC ID: 0143709915 Enrollment ID: I20260211002614 |
| Provider Name | Crystal a Escarsega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386097285 PECOS PAC ID: 6002100310 Enrollment ID: I20260218000597 |
| Provider Name | Edward R Mogabgab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326144080 PECOS PAC ID: 9234174848 Enrollment ID: I20260218004295 |
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Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 |
Companion Health, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 |
Clarity Health Dpc, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Springbank Ln Ste B, Charlotte, NC 28226 Phone: 704-709-3351 Fax: 704-991-7799 |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 |