| Latino Health Institute Inc | |
|
142 Crescent Street, Second Floor Brockton, MA 02302 | |
| (508) 941-0005 | |
| Not Available |
| Full Name | Latino Health Institute Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 142 Crescent Street, Second Floor, Brockton,, Massachusetts |
| Authorized Official Name and Position | Eduardo Aguilu (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6173506900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latino Health Institute Inc 142 Crescent Street, Second Floor Brockton, MA 02302 Ph: () - | Latino Health Institute Inc 142 Crescent Street, Second Floor Brockton, MA 02302 Ph: (508) 941-0005 |
| NPI Number | 1063546232 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063546232 | NPI | - | NPPES |
| 1317679 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 41TC (Massachusetts) | Primary |