| Estrella Internal Medicine & Geriatrics Clinic, Plc | |
|
8410 W Thomas Rd Bldg. 2, Suite 112 Phoenix AZ 85037-3329 | |
| (623) 873-1500 | |
| (623) 873-4247 |
| Full Name | Estrella Internal Medicine & Geriatrics Clinic, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8410 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Lucia Magat Gregorio (PRESIDENT) |
| Authorized Official Contact | 6238731500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrella Internal Medicine & Geriatrics Clinic, Plc 8410 W Thomas Rd Bldg. 2, Suite 112 Phoenix AZ 85037-3329 Ph: (623) 873-1500 | Estrella Internal Medicine & Geriatrics Clinic, Plc 8410 W Thomas Rd Bldg. 2, Suite 112 Phoenix AZ 85037-3329 Ph: (623) 873-1500 |
| NPI Number | 1639125511 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 11/11/2020 |
| Medicare PECOS PAC ID | 1557366069 |
|---|---|
| Medicare Enrollment ID | O20060915000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639125511 | NPI | - | NPPES |
| Z111092 | Other | AZ | MEDICARE ID - TYPE UNSPECIFIED |
| Provider Name | Lucia Magat Gregorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609856004 PECOS PAC ID: 8628019510 Enrollment ID: I20050520000668 |
| Provider Name | Melody M Attipoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255811311 PECOS PAC ID: 0345592093 Enrollment ID: I20181009000991 |
| Provider Name | Guen Cecilia Tawagon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609415744 PECOS PAC ID: 5294161550 Enrollment ID: I20200204002443 |
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