| Pima Gastroenterology | |
|
6365 E Tanque Verde Rd Suite 230 Tucson AZ 85715 | |
| (520) 886-1071 | |
| (520) 881-3374 |
| Full Name | Pima Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 6365 E Tanque Verde Rd, Tucson, Arizona |
| Authorized Official Name and Position | Le Roi Arturo Baez (PRESIDENT) |
| Authorized Official Contact | 5208861071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pima Gastroenterology Po Box 43130 Tucson AZ 85733-3130 Ph: (520) 722-3777 | Pima Gastroenterology 6365 E Tanque Verde Rd Suite 230 Tucson AZ 85715 Ph: (520) 886-1071 |
| NPI Number | 1861689051 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 0547246761 |
|---|---|
| Medicare Enrollment ID | O20040628001428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861689051 | NPI | - | NPPES |
| 689052 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 30154 (Arizona) | Primary |
| Provider Name | Le Roi A Baez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821039314 PECOS PAC ID: 5890729156 Enrollment ID: I20050927000136 |
| Provider Name | Cristiana Bortuzzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891739017 PECOS PAC ID: 1759344666 Enrollment ID: I20060920000512 |
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