SU CLINICA AMIGA LLC NPI 1619219292

NPI Information

NPI: 1619219292
Provider Name: SU CLINICA AMIGA LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3169 CALLE MARAVILLOSA
BROWNSVILLE, TX
ZIP 78526
Phone: (832) 356-7695
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SU CLINICA AMIGA LLC is a primary care clinic center in Brownsville, TX. SU CLINICA AMIGA LLC NPI is 1619219292. The provider is registered as an organization entity type.

The provider's business location address is:

3169 CALLE MARAVILLOSA
BROWNSVILLE, TX
ZIP 78526-240
Phone: (832) 356-7695

The provider's authorized official is Amelia Isbell .
The authorized official title is Owner and has the following contact phone number (832) 356-7695.

The enumeration date for this NPI number is 3/21/2013 and was last updated on 3/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	J6641	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TX1664	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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