# LATINO CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376308601
- **Authorized official:** YURI HERNANDEZ (ADMIN)
- **Authorized official phone:** (602) 353-6656

## Contact information

- **Practice address:** 5847 S 16TH ST, PHOENIX, AZ 85040-3512
- **Practice address phone:** (602) 609-4107
- **Mailing address:** 3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024