Consultorio Medico Latino
NPI 1790319408ActiveOrganization· Family Medicine· North Charleston, SC
Family Medicine in North Charleston, South Carolina, registered in NPPES in March 2020. The authorized official on file is Stephanie Jaquez, Sole Mbr.
Overview
| NPI | 1790319408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2020 |
| Last updated in NPPES | Jul 6, 2021 |
| Certified by provider | Jul 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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