| Gonzalo E Ibarra Murrieta, MD | |
|
1852 N Mastick Way, Nogales, AZ 85621-1063 | |
| (520) 281-1550 | |
| (520) 281-2335 |
| Full Name | Gonzalo E Ibarra Murrieta |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1852 N Mastick Way, Nogales, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437446812 | NPI | - | NPPES |
| 624948 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 44735 (Arizona) | Primary |
| Entity Name | Mariposa Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalo E Ibarra Murrieta, MD 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 281-1550 | Gonzalo E Ibarra Murrieta, MD 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 281-1550 |
Tanya Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 | |
Dr. Guadalupe Ibanez Davila, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Andrea Batshon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Alfonso C. Robles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Burt A Stanga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-375-6007 | |
Dr. Jeminah L. Van Handel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335 |