Family Medicine
CONSULTORIO MEDICO LATINO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790319408 · enumerated 2020-03-03 · record updated 2021-07-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: STEPHANIE JAQUEZ, Sole MBR · (843) 735-1887
Addresses and phones
- Practice location 2810 ASHLEY PHOSPHATE RD STE B4, NORTH CHARLESTON, SC, 29418-6406 (843) 553-7744 Fax (843) 553-7734 Google Maps Apple Maps OpenStreetMap
- Mailing address 2810 ASHLEY PHOSPHATE RD STE B4, NORTH CHARLESTON, SC, 29418-6406 (843) 553-7744 Fax (843) 553-7734 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
NORTH CHARLESTON, SC, 294186406
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.