# CLINICA DE LA SALUD HISPANA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica de la Salud Hispana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093985343
- **Authorized official:** MR. EDGAR MIGUEL VELEZ (MANAGER)
- **Authorized official phone:** (678) 888-0173

## Contact information

- **Practice address:** 969 WINDY HILL RD SE, SUITE E, SMYRNA, GA 30080-2003
- **Practice address phone:** (678) 888-0173
- **Practice address fax:** (678) 888-0177
- **Mailing address:** 969 WINDY HILL RD SE, SUITE E, SMYRNA, GA 30080-2003
- **Mailing address phone:** (678) 888-0173
- **Mailing address fax:** (678) 888-0177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | GA | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/04/2008