| Clinica Union, Inc | |
|
3369 Buford Hwy Ne Suite 810 Atlanta GA 30329-3722 | |
| (404) 321-4692 | |
| Not Available |
| Full Name | Clinica Union, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3369 Buford Hwy Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Pablo Quintanilla (DIRECTOR) |
| Authorized Official Contact | 4043214692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Union, Inc 3369 Buford Hwy Ne Suite 810 Atlanta GA 30329-3722 Ph: (404) 321-4692 | Clinica Union, Inc 3369 Buford Hwy Ne Suite 810 Atlanta GA 30329-3722 Ph: (404) 321-4692 |
| NPI Number | 1386868263 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800112053 |
|---|---|
| Medicare Enrollment ID | O20150305000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386868263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017546 (Georgia) | Primary |
| Provider Name | Michael A Dicristina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144226135 PECOS PAC ID: 3375736507 Enrollment ID: I20101020001289 |
| Provider Name | Inoka A Devapriya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629463864 PECOS PAC ID: 4183927346 Enrollment ID: I20191230002302 |
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