Organization
CLINICA LATINA DIVINO NAZARENO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIO GONZALEZ MIRANDA FNP (FNP)
(361) 236-4382
Entity
Organization
Contact information
Practice address
4458 S STAPLES ST, CORPUS CHRISTI, TX 78411-2602
(361) 236-4382
(281) 298-6655
Mailing address
4458 S STAPLES ST, CORPUS CHRISTI, TX 78411-2602
(361) 236-4382
(281) 298-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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