| Mount Mederi Llc | |
|
9735 N 90th Place Suite 200 Scottsdale AZ 85258 | |
| (480) 905-0000 | |
| (480) 905-0041 |
| Full Name | Mount Mederi Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9735 N 90th Place, Scottsdale, Arizona |
| Authorized Official Name and Position | Alberto M Guerrero (MANAGING PARTNER) |
| Authorized Official Contact | 4809050000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Mederi Llc Po Box 28004 Scottsdale AZ 85255-0150 Ph: (480) 905-0000 | Mount Mederi Llc 9735 N 90th Place Suite 200 Scottsdale AZ 85258 Ph: (480) 905-0000 |
| NPI Number | 1801025085 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 5395899801 |
|---|---|
| Medicare Enrollment ID | O20090818000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801025085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28656 (Arizona) | Primary |
| Provider Name | Michael A Angeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336120666 PECOS PAC ID: 0749171916 Enrollment ID: I20040324001522 |
| Provider Name | Alberto M Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427066570 PECOS PAC ID: 2163470568 Enrollment ID: I20050113000230 |
| Provider Name | Hernan L Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982684924 PECOS PAC ID: 2961436233 Enrollment ID: I20050926000818 |
| Provider Name | Carmen O Oliveras Crespo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390229 PECOS PAC ID: 0446343891 Enrollment ID: I20070830000780 |
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