| Clinicas Del Dr. Cazares | |
|
6717 N 59th Ave Glendale AZ 85301-3205 | |
| (623) 939-1411 | |
| (623) 939-1465 |
| Full Name | Clinicas Del Dr. Cazares |
|---|---|
| Speciality | Clinic/Center |
| Location | 6717 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Toni A Samaniego (GENERALA MANAGER) |
| Authorized Official Contact | 6239391411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinicas Del Dr. Cazares 6717 N 59th Ave Glendale AZ 85301-3205 Ph: (623) 939-1411 | Clinicas Del Dr. Cazares 6717 N 59th Ave Glendale AZ 85301-3205 Ph: (623) 939-1411 |
| NPI Number | 1497025399 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 02/21/2012 |
| Medicare PECOS PAC ID | 8325200306 |
|---|---|
| Medicare Enrollment ID | O20120509000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497025399 | NPI | - | NPPES |
| 213546 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1700 (Arizona) | Primary |
| Provider Name | Carlos M Cazares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649237488 PECOS PAC ID: 5294997334 Enrollment ID: I20120507000367 |
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