OrganizationActive
Clinica Latina, Sc
NPI 1619289782 · Health Maintenance Organization · Milwaukee, WI
Provider details
- NPI number
- 1619289782
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Dandre Turner, Office Manager(414) 645-6665
- License
- 19077 (WI)
Specialties & taxonomies
Managed Care Organizations
Practice location
1238 S Cesar E Chavez Dr
Milwaukee, WI 53204-2267
Phone: (414) 645-6665
Fax: (414) 645-6732
Approximate (ZIP-level) locationGet directions
Mailing address
1238 S Cesar E Chavez Dr
Milwaukee, WI 53204-2267
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2010-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.