| Zaydee Montano Rivera, MD | |
|
21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | |
| (370) 048-0512 | |
| Not Available |
| Full Name | Zaydee Montano Rivera |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 21772 S Ellsworth Loop Rd, Queen Creek, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427579754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34503 (Puerto Rico) | Secondary |
| 208000000X | Pediatrics | 60556 (Arizona) | Primary |
| Entity Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
| Entity Name | Banner Childrens Banner Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407191216 PECOS PAC ID: 2466697735 Enrollment ID: O20130315000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Zaydee Montano Rivera, MD 1684 Calle Marquesa, Ponce, PR 00716-0504 Ph: (480) 227-2544 | Zaydee Montano Rivera, MD 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 Ph: (370) 048-0512 |
Dr. Milan Miloslav Hrkal Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21321 E.ocotillo Rd., Ste.110, Queen Creek, AZ 85242 Phone: 480-677-4545 Fax: 480-677-4356 | |
Breeane Wazney, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142 Phone: 480-512-3700 Fax: 480-512-3715 | |
Heather Kinnamon Dirkmaat, NMD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20062 Ellsworth Rd, Building B, Queen Creek, AZ 85142 Phone: 303-210-0662 | |
Emilia Elizabeth Gomez Vieytez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 Phone: 480-792-9200 Fax: 480-792-9206 | |
Brian Douglas Dewitt, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd Ste 110, Queen Creek, AZ 85142 Phone: 480-677-4545 |