| Jibaro Medical Clinic Pllc | |
|
5658 Highway 260 Suite 19 Lakeside AZ 85929-5189 | |
| (928) 532-5838 | |
| (928) 532-6670 |
| Full Name | Jibaro Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5658 Highway 260, Lakeside, Arizona |
| Authorized Official Name and Position | Mirza Rivera (OWNER) |
| Authorized Official Contact | 9235325838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jibaro Medical Clinic Pllc Po Box 1150 Show Low AZ 85902-1150 Ph: (928) 532-5838 | Jibaro Medical Clinic Pllc 5658 Highway 260 Suite 19 Lakeside AZ 85929-5189 Ph: (928) 532-5838 |
| NPI Number | 1194734319 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194734319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24947 (Arizona) | Primary |
Dallas Peterson Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Lockwood Dr, Lakeside, AZ 85929 Phone: 928-368-2060 | |
O Serrano Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 W White Mountain Blvd, Suite C, Lakeside, AZ 85929 Phone: 928-367-3637 Fax: 928-367-3638 | |
Honor Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W White Mountain Blvd, Suite D, Lakeside, AZ 85929 Phone: 928-368-4547 Fax: 928-368-4527 | |
Advanced Health And Wellness Az Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4830 Highway 260 Ste 102, Lakeside, AZ 85929 Phone: 928-537-7111 Fax: 928-532-1129 | |
Lakeside Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 W White Mountain Blvd #c, Lakeside, AZ 85929 Phone: 928-367-6828 Fax: 928-367-4037 | |
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