| Milagros Family Healthcare Llc | |
|
5422 S 12th Ave Tucson AZ 85706-3284 | |
| (520) 900-3667 | |
| (520) 337-3343 |
| Full Name | Milagros Family Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5422 S 12th Ave, Tucson, Arizona |
| Authorized Official Name and Position | Axsunn Ramirez (PRESIDENT) |
| Authorized Official Contact | 5209003667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milagros Family Healthcare Llc Po Box 43100 Tucson AZ 85733-3100 Ph: (520) 900-3667 | Milagros Family Healthcare Llc 5422 S 12th Ave Tucson AZ 85706-3284 Ph: (520) 900-3667 |
| NPI Number | 1447881933 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 2264840602 |
|---|---|
| Medicare Enrollment ID | O20210422003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447881933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lisnet Jorge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912421124 PECOS PAC ID: 2365708013 Enrollment ID: I20171113001784 |
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