| Mendoza Medical Llc | |
|
2001 W Orange Grove Rd Suite 312 Tucson AZ 85704-1139 | |
| (520) 297-3907 | |
| (520) 989-3486 |
| Full Name | Mendoza Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2001 W Orange Grove Rd, Tucson, Arizona |
| Authorized Official Name and Position | Leonardo C Mendoza (CHIEF) |
| Authorized Official Contact | 5202973907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendoza Medical Llc Po Box 36627 Tucson AZ 85740-6627 Ph: (520) 297-3907 | Mendoza Medical Llc 2001 W Orange Grove Rd Suite 312 Tucson AZ 85704-1139 Ph: (520) 297-3907 |
| NPI Number | 1386710523 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/23/2024 |
| Medicare PECOS PAC ID | 7719986710 |
|---|---|
| Medicare Enrollment ID | O20061219000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386710523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 35869 (Arizona) | Primary |
| Provider Name | Leonardo C Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194798496 PECOS PAC ID: 9931156817 Enrollment ID: I20061120000445 |
| Provider Name | Francisco R Rodriguez-martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578133914 PECOS PAC ID: 9739584392 Enrollment ID: I20210819001057 |
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