Pediatras Arizona is a Pediatrics in Phoenix, Arizona. Pediatras Arizona practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatras Arizona is 1427152164. The last update date is 2016-11-29.
Pediatras Arizona's current location address is Po Box 71608, Phoenix, Arizona. You can contact this provider via phone number 6022186397 and fax number 6022816391. The mailing address for Pediatras Arizona is Po Box 71608, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatras Arizona |
|---|---|
| Address | Po Box 71608, Phoenix, Arizona |
| Phone Number | 6022186397 |
| Fax Number | 6022816391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Llusco C Juan |
| Credentials | M.D. |
| Telephone Number | 6022186397 |
NPI Number Detail
| NPI Number | 1427152164 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2016-11-29 |
Provider Mailing Address Detail
| Address | Po Box 71608 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850501011 |
| Phone Number | 6022186397 |
| Fax Number | 6022816391 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805872 | AHCCCS |
Post Comment/ Review Below
What is the unique identifier code issued to Pediatras Arizona by the Centers for Medicare & Medicaid Services?
The Pediatras Arizona has been assigned the NPI (National Provider Identifier) 1427152164. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pediatras Arizona's facilities are situated?
The facilities of Pediatras Arizona are physically located at the following address: Po Box 71608, Phoenix, AZ, 850501011.
What is the Pediatras Arizona's specialty and taxonomy code?
The Pediatras Arizona's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427152164 to Pediatras Arizona?
The Centers for Medicare & Medicaid Services originally issued the 1427152164 to Pediatras Arizona on 2006-09-12.
As of what date were the details related to Pediatras Arizona most recently updated or revised?
The information pertaining to Pediatras Arizona, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-29.