NPI 1003108515

Clinica Panamericana LLC

Organisation Point of Service Milwaukee, WI

Practice location

Address: 1225 W Historic Mitchell St 211, Milwaukee, WI 53204-3383
Phone: (414) 389-0166
Fax: (414) 643-1003

Authorised official

Name: Hugo F Goitia
Title: President
Phone: (414) 389-0166

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 26560-20 (WI)

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Registry record

NPI: 1003108515
Entity type: Organization
NPI issued: 3 May 2011
Record last updated: 3 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.