| Clinica Latina Corpus Christi | |
|
1620 S Brownlee Blvd Corpus Christi TX 78404-3134 | |
| (361) 500-4542 | |
| (361) 500-4543 |
| Full Name | Clinica Latina Corpus Christi |
|---|---|
| Speciality | Clinic/Center |
| Location | 1620 S Brownlee Blvd, Corpus Christi, Texas |
| Authorized Official Name and Position | Oscar Borges Rodriguez (MANNAGER) |
| Authorized Official Contact | 3614613192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Latina Corpus Christi 1620 S Brownlee Blvd Corpus Christi TX 78404-3134 Ph: (361) 500-4542 | Clinica Latina Corpus Christi 1620 S Brownlee Blvd Corpus Christi TX 78404-3134 Ph: (361) 500-4542 |
| NPI Number | 1073213039 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 8729447768 |
|---|---|
| Medicare Enrollment ID | O20230707003505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073213039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Secondary |
| Provider Name | Oscar Borges Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750081816 PECOS PAC ID: 1456710490 Enrollment ID: I20230707003529 |
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