CLINICA SAN ANTONIO PLLC
NPI 1619509197
Nurse Practitioner - Family in Charlotte, NC

Q: What is Clinica San Antonio PLLC's NPI number?

The NPI number for Clinica San Antonio PLLC is 1619509197. It was assigned to this organization in the NPPES registry on February 12, 2020.

Q: What is Clinica San Antonio PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 12, 2020CLIA 34D2179509 · Waiver

416 MCCULLOUGH DR STE 110, CHARLOTTE, NC 28262(980) 613-8735(980) 613-8079 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Clinica San Antonio Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA SAN ANTONIO PLLC (NPI 1619509197) is a healthcare organization registered as a family in Charlotte, North Carolina and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Gilberto Lorenzana, Owner, as its authorized official.

NPPES Registry Identity

NPI1619509197

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCLINICA SAN ANTONIO PLLC

Location Address416 MCCULLOUGH DR STE 110Charlotte, NC 28262-4387

Mailing Address416 Mccullough Dr Ste 110Charlotte, NC 28262-4387 · (980) 613-8735 · Fax (980) 613-8079

Phone(980) 613-8735

Fax(980) 613-8079

Organization SubpartNo

Authorized OfficialGilberto LorenzanaOwner · (980) 613-8735

Enumeration DateFebruary 12, 2020

✔ NPI 1619509197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

416 MCCULLOUGH DR STE 110, Charlotte, NC 28262

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2179509

Clinic San Antonio, PLLC · Charlotte, NC

Active · expires Feb 24, 2028

CLIA Number34D2179509

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2026

Certificate Expiration DateFebruary 24, 2028

Laboratory DirectorGilberto A. Lorenzana

Laboratory Phone(980) 613-8735

Laboratory LocationClinic San Antonio, PLLC416 Mccollough Drive Suite 110, Charlotte, NC 28262

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica San Antonio PLLC's NPI number?

The NPI number for Clinica San Antonio PLLC is 1619509197. It was assigned to this organization in the NPPES registry on February 12, 2020.

Where is Clinica San Antonio PLLC located?

Clinica San Antonio PLLC is located at 416 Mccullough Dr Ste 110, Charlotte, NC 28262. The listed phone number is (980) 613-8735.

What is Clinica San Antonio PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Clinica San Antonio PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2179509) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica San Antonio PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Clinica San Antonio PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinica San Antonio PLLC was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.