| Figueroa Tree LLC | |
|
16601 N 40th St Ste 204 Phoenix AZ 85032-3356 | |
| (602) 363-6528 | |
| Not Available |
| Full Name | Figueroa Tree LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 16601 N 40th St Ste 204, Phoenix, Arizona |
| Authorized Official Name and Position | Vicente Figueroa-diaz (OWNER) |
| Authorized Official Contact | 6023636528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Figueroa Tree LLC 3655 W Anthem Way Suite A109 Pmb 313 Anthem AZ 85086-0430 Ph: (623) 505-9880 | Figueroa Tree LLC 16601 N 40th St Ste 204 Phoenix AZ 85032-3356 Ph: (602) 363-6528 |
| NPI Number | 1700719150 |
|---|---|
| Provider Enumeration Date | 06/05/2026 |
| Last Update Date | 06/05/2026 |
| Certification Date | 06/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700719150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (NU) | Secondary |
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