| Suvida Healthcare Clinical Services Llc | |
|
225 E Valencia Rd Ste 135 Tucson AZ 85706-6866 | |
| (520) 613-2967 | |
| (520) 314-0070 |
| Full Name | Suvida Healthcare Clinical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 E Valencia Rd Ste 135, Tucson, Arizona |
| Authorized Official Name and Position | Elena Castaneda (PRESIDENT) |
| Authorized Official Contact | 8884788432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suvida Healthcare Clinical Services Llc 211 E 7th St Ste 700 Austin TX 78701-3218 Ph: (888) 478-8432 | Suvida Healthcare Clinical Services Llc 225 E Valencia Rd Ste 135 Tucson AZ 85706-6866 Ph: (520) 613-2967 |
| NPI Number | 1972286003 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 3971967746 |
|---|---|
| Medicare Enrollment ID | O20230912002736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972286003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Andrew Nava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639285323 PECOS PAC ID: 1850297607 Enrollment ID: I20031211000368 |
| Provider Name | Rodolfo Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013910751 PECOS PAC ID: 1759321284 Enrollment ID: I20050504000666 |
| Provider Name | Laura E De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043230097 PECOS PAC ID: 5597707521 Enrollment ID: I20050531000676 |
| Provider Name | Sylvia Quevedo Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962711648 PECOS PAC ID: 0446445498 Enrollment ID: I20101116000614 |
| Provider Name | Francisco Cordova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003817867 PECOS PAC ID: 0042205510 Enrollment ID: I20121126000502 |
| Provider Name | Andres Fernando Gil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681420 PECOS PAC ID: 0749588622 Enrollment ID: I20191204002198 |
| Provider Name | Ana Fuentevilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679554430 PECOS PAC ID: 8022439926 Enrollment ID: I20230425000782 |
| Provider Name | Christina Huynh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558128264 PECOS PAC ID: 3476991134 Enrollment ID: I20240401003028 |
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