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 |
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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 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7315043908 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538143300 PECOS PAC ID: 6204806045 Enrollment ID: I20040728001476 |
Provider Name | Suzanne F Benjamin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093765489 PECOS PAC ID: 5496762296 Enrollment ID: I20060320000766 |
Provider Name | Jose G Cisneros |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1023249174 PECOS PAC ID: 0749305902 Enrollment ID: I20160225000327 |
Provider Name | Claudia Molles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932557675 PECOS PAC ID: 1355629742 Enrollment ID: I20161107001493 |
Provider Name | Patricia I Herrera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
Provider Name | Daniella Rochelle Cleveland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043853294 PECOS PAC ID: 8022444173 Enrollment ID: I20200207002039 |
Provider Name | Adriana Ruth Samano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801367610 PECOS PAC ID: 3971839911 Enrollment ID: I20200302001896 |
Provider Name | Janoi Gonzalez Camejo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902364730 PECOS PAC ID: 8820323207 Enrollment ID: I20200610001857 |
Provider Name | Octavia T Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
Provider Name | Soledad Villalobos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356740088 PECOS PAC ID: 9830504646 Enrollment ID: I20210209000018 |
Provider Name | Ignacia Andrea Quirino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205435740 PECOS PAC ID: 4981019072 Enrollment ID: I20210223002944 |
Provider Name | Alejandro I Navarro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962286724 PECOS PAC ID: 3375990211 Enrollment ID: I20231114001809 |
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