ALFREDO GUEVARA JR. MD NPI 1114543204

NPI Information

  • NPI: 1114543204
  • Provider Name: ALFREDO GUEVARA, JR., MD
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 507 N WESTERN AVE
    NOGALES, AZ
    ZIP 85621
  • Phone: (520) 761-3103

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NPI Details

ALFREDO GUEVARA, JR., MD is an urology in Nogales, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ALFREDO GUEVARA, JR., MD NPI is 1114543204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

507 N WESTERN AVE
NOGALES, AZ
ZIP 85621-060
Phone: (520) 761-3103
Fax: (520) 287-4862

The provider's authorized official is Cecie Mavis .
The authorized official title is Billing Manager/office Manager and has the following contact phone number (520) 761-3103.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 6/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1203216MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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