Organization
LATINO HEALTH INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO AGUILU (EXECUTIVE DIRECTOR OF OPERATIONS)
(617) 350-6900
Entity
Organization
Contact information
Practice address
142 CRESCENT STREET, SECOND FLOOR, BROCKTON,, MA 02302
(508) 941-0005
Mailing address
142 CRESCENT STREET, SECOND FLOOR, BROCKTON,, MA 02302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
41TC
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317679
—
MA
Enumeration date
03/16/2007
Last updated
08/22/2020
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