| Estrella Specialty Medical Care P C | |
|
9515 W Camelback Rd Ste 136 Phoenix AZ 85037-1364 | |
| (623) 322-8906 | |
| (623) 322-8430 |
| Full Name | Estrella Specialty Medical Care P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 9515 W Camelback Rd Ste 136, Phoenix, Arizona |
| Authorized Official Name and Position | Herminia Gumabay Herrera-tan (OWNER) |
| Authorized Official Contact | 4802462376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrella Specialty Medical Care P C 9515 W Camelback Rd Ste 136 Phoenix AZ 85037-1364 Ph: (623) 322-8906 | Estrella Specialty Medical Care P C 9515 W Camelback Rd Ste 136 Phoenix AZ 85037-1364 Ph: (623) 322-8906 |
| NPI Number | 1538239876 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 0648374793 |
|---|---|
| Medicare Enrollment ID | O20070329000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538239876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 29828 (Arizona) | Primary |
| Provider Name | Herminia G Herrera-tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295812774 PECOS PAC ID: 6002919875 Enrollment ID: I20070315000233 |
| Provider Name | Sherry Lynn Montoya-velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366911059 PECOS PAC ID: 7214275080 Enrollment ID: I20190221000290 |
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