| Roberto I. Bracamonte, M.d., P.c. | |
|
3550 E Pinchot Ave Building B Phoenix AZ 85018-7434 | |
| (845) 235-3581 | |
| Not Available |
| Full Name | Roberto I. Bracamonte, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3550 E Pinchot Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Roberto Igor Bracamonte (PRESIDENT) |
| Authorized Official Contact | 8452353581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto I. Bracamonte, M.d., P.c. 3751 W Turtle Hill Dr Anthem AZ 85086-3740 Ph: (845) 235-3581 | Roberto I. Bracamonte, M.d., P.c. 3550 E Pinchot Ave Building B Phoenix AZ 85018-7434 Ph: (845) 235-3581 |
| NPI Number | 1780979740 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/17/2011 |
| Medicare PECOS PAC ID | 9537330147 |
|---|---|
| Medicare Enrollment ID | O20110912000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780979740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 42622 (Arizona) | Primary |
| Provider Name | Roberto I Bracamonte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205065299 PECOS PAC ID: 1850573940 Enrollment ID: I20110310000590 |
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