| Centro Medico De Diabetes, Pllc | |
|
13402 N 32nd St Suite #3 Phoenix AZ 85032-6047 | |
| (602) 493-0023 | |
| Not Available |
| Full Name | Centro Medico De Diabetes, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13402 N 32nd St, Phoenix, Arizona |
| Authorized Official Name and Position | Ricardo Celaya (PRESIDENT) |
| Authorized Official Contact | 6024930023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico De Diabetes, Pllc 13402 N 32nd St Suite #3 Phoenix AZ 85032-6047 Ph: (602) 493-0023 | Centro Medico De Diabetes, Pllc 13402 N 32nd St Suite #3 Phoenix AZ 85032-6047 Ph: (602) 493-0023 |
| NPI Number | 1609046309 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609046309 | NPI | - | NPPES |
| 616245 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29615 (Arizona) | Primary |
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