| Hispanic American Pediatrics & Family Care Llc | |
|
2255 Crain Hwy Ste 107 Waldorf MD 20601-3186 | |
| (301) 818-7272 | |
| Not Available |
| Full Name | Hispanic American Pediatrics & Family Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2255 Crain Hwy Ste 107, Waldorf, Maryland |
| Authorized Official Name and Position | Leticia Graciela Bustamante Sanchez (CRNP) |
| Authorized Official Contact | 3018187272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic American Pediatrics & Family Care Llc 2255 Crain Hwy Ste 107 Waldorf MD 20601-3186 Ph: (301) 818-7272 | Hispanic American Pediatrics & Family Care Llc 2255 Crain Hwy Ste 107 Waldorf MD 20601-3186 Ph: (301) 818-7272 |
| NPI Number | 1093313652 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 06/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093313652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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