| Vicente Figueroa-diaz, MD, PA-C | |
|
19829 N 27th Ave, Phoenix, AZ 85027-4001 | |
| (623) 505-4479 | |
| (623) 505-9880 |
| Full Name | Vicente Figueroa-diaz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 19829 N 27th Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689898611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA15058 (California) | Secondary |
| 208M00000X | Hospitalist | 43505 (Arizona) | Primary |
| 207R00000X | Internal Medicine | 43505 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health - Arizona General Hospital | Laveen, AZ | Hospital |
| Advanced Health Care Of Glendale | Glendale, AZ | Nursing home |
| Horizon Post Acute And Rehabilitation Center | Glendale, AZ | Nursing home |
| Haven Of Sedona | Sedona, AZ | Nursing home |
| Allegiant Healthcare Of Phoenix, Llc | Phoenix, AZ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Zion Medical Group Pllc | 1355566464 | 29 |
| Ternion Physician Group, Pllc | 6709157589 | 6 |
| Entity Name | Zion Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184049322 PECOS PAC ID: 1355566464 Enrollment ID: O20140703001618 |
| Entity Name | Ternion Physician Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013466192 PECOS PAC ID: 6709157589 Enrollment ID: O20170814001018 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicente Figueroa-diaz, MD, PA-C 3655 W Anthem Way, Suite A-109; Pmb 313, Anthem, AZ 85086-0430 Ph: (623) 505-4479 | Vicente Figueroa-diaz, MD, PA-C 19829 N 27th Ave, Phoenix, AZ 85027-4001 Ph: (623) 505-4479 |