| Hispanic Medical Center, Sc | |
|
3527 W National Ave Milwaukee WI 53215-1024 | |
| (414) 384-8930 | |
| Not Available |
| Full Name | Hispanic Medical Center, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 3527 W National Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Alvaro Aleman (OWNER) |
| Authorized Official Contact | 4143848930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic Medical Center, Sc 3527 W National Ave Milwaukee WI 53215-1024 Ph: (414) 384-8930 | Hispanic Medical Center, Sc 3527 W National Ave Milwaukee WI 53215-1024 Ph: (414) 384-8930 |
| NPI Number | 1487602231 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 9739191693 |
|---|---|
| Medicare Enrollment ID | O20060615000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487602231 | NPI | - | NPPES |
| 32867900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28130 (Wisconsin) | Primary |
| Provider Name | Alvaro Aleman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780645879 PECOS PAC ID: 3274545132 Enrollment ID: I20060615000316 |
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