Organization
CLINICA UNION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO RIVERA (PRESIDENT & CEO)
(404) 321-4692
Entity
Organization
Contact information
Practice address
3369 BUFORD HWY NE, SUITE 810, ATLANTA, GA 30329-3722
(404) 321-4692
Mailing address
3369 BUFORD HWY NE, SUITE 810, ATLANTA, GA 30329-3722
(404) 321-4692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
08/28/2013
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