Ricardo Reyes, | |
1852 N Mastick Way, Nogales, AZ 85621-1063 | |
(520) 281-1550 | |
(520) 281-1112 |
Full Name | Ricardo Reyes |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1852 N Mastick Way, Nogales, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396366746 | NPI | - | NPPES |
70499 | Other | AZ | ARIZONA MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A196106 (California) | Primary |
Entity Name | Mariposa Community Health Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065 |
Mailing Address | Practice Location Address |
---|---|
Ricardo Reyes, 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 761-2128 | Ricardo Reyes, 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 281-1550 |
James Lyle Derickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Valerie A Wohl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Dr. Guy A Crawford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-285-3136 | |
Kenneth Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
La Kesha S Francis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1209 W Target Range Rd Ste 100, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4487 | |
William Lester Bartholomew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Bernardo Chavira, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |