| Mesquite Medical PLLC | |
|
6867 N Oracle Rd Ste 157 Tucson AZ 85704-4283 | |
| (520) 369-2463 | |
| (844) 749-3462 |
| Full Name | Mesquite Medical PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6867 N Oracle Rd Ste 157, Tucson, Arizona |
| Authorized Official Name and Position | Manuel Romo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5203692463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Medical PLLC 4445 N Avenida De Paz Tucson AZ 85718-6701 Ph: (520) 369-2463 | Mesquite Medical PLLC 6867 N Oracle Rd Ste 157 Tucson AZ 85704-4283 Ph: (520) 369-2463 |
| NPI Number | 1659161222 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 08/12/2026 |
| Certification Date | 08/12/2026 |
| Medicare PECOS PAC ID | 0446752950 |
|---|---|
| Medicare Enrollment ID | O20250904003157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659161222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Manuel Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458045 PECOS PAC ID: 0042304628 Enrollment ID: I20190917004250 |
| Provider Name | Kasandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454655 PECOS PAC ID: 5092123356 Enrollment ID: I20210426002812 |
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