| Clinica Medica Del Sol, Llc | |
|
8022 N 27th Ave Phoenix AZ 85051-6302 | |
| (602) 513-3616 | |
| (480) 657-9265 |
| Full Name | Clinica Medica Del Sol, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8022 N 27th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Joseph M Gutierrez (OWNER) |
| Authorized Official Contact | 6025133616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Del Sol, Llc Po Box 55015 Phoenix AZ 85078-5015 Ph: (602) 513-3616 | Clinica Medica Del Sol, Llc 8022 N 27th Ave Phoenix AZ 85051-6302 Ph: (602) 513-3616 |
| NPI Number | 1023155991 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7315043908 |
|---|---|
| Medicare Enrollment ID | O20070427000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023155991 | NPI | - | NPPES |
| 871089 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32998 (Arizona) | Primary |
| Provider Name | Joseph M Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538143300 PECOS PAC ID: 6204806045 Enrollment ID: I20040728001476 |
| Provider Name | Suzanne F Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093765489 PECOS PAC ID: 5496762296 Enrollment ID: I20060320000766 |
| Provider Name | Jose G Cisneros |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023249174 PECOS PAC ID: 0749305902 Enrollment ID: I20160225000327 |
| Provider Name | Claudia Molles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932557675 PECOS PAC ID: 1355629742 Enrollment ID: I20161107001493 |
| Provider Name | Patricia I Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
| Provider Name | Daniella Rochelle Cleveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043853294 PECOS PAC ID: 8022444173 Enrollment ID: I20200207002039 |
| Provider Name | Adriana Ruth Samano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801367610 PECOS PAC ID: 3971839911 Enrollment ID: I20200302001896 |
| Provider Name | Janoi Gonzalez Camejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902364730 PECOS PAC ID: 8820323207 Enrollment ID: I20200610001857 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
| Provider Name | Soledad Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740088 PECOS PAC ID: 9830504646 Enrollment ID: I20210209000018 |
| Provider Name | Ignacia Andrea Quirino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435740 PECOS PAC ID: 4981019072 Enrollment ID: I20210223002944 |
| Provider Name | Alejandro I Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962286724 PECOS PAC ID: 3375990211 Enrollment ID: I20231114001809 |
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