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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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