Provider Demographics
NPI:1497139042
Name:CENTRO HISPANO URGENCIAS MEDICAS
Entity Type:Organization
Organization Name:CENTRO HISPANO URGENCIAS MEDICAS
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-523-3797
Mailing Address - Street 1:450 E NEW CIRCLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-2619
Mailing Address - Country:US
Mailing Address - Phone:859-523-3797
Mailing Address - Fax:859-523-3948
Practice Address - Street 1:450 E NEW CIRCLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-2619
Practice Address - Country:US
Practice Address - Phone:859-523-3797
Practice Address - Fax:859-523-3948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42437261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
0962205OtherMEDICARE
KY7100072140Medicaid