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Organization
CLINICA LATINA, S.C.
Active
Organization
CLINICA LATINA, S.C.
Active
Other names
Cudahy Physician Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO APONTE M.D. (PRESIDENT)
(414) 645-6665
Entity
Organization
Contact information
Practice address
1238 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2267
(414) 645-6665
(414) 645-6732
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32740300
—
WI
01
—
52D0692638
CLIA
WI
Enumeration date
11/23/2005
Last updated
08/17/2010
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