PLAZA MEDICA MEXICANA NPI 1376789768

NPI Information

PLAZA MEDICA MEXICANA is a health service clinic center in Phoenix, AZ. PLAZA MEDICA MEXICANA NPI is 1376789768. The provider is registered as an organization entity type.

The provider's business location address is:

4660 W THOMAS RD
STE-A
PHOENIX, AZ
ZIP 85031-718
Phone: (602) 442-4500

The provider's authorized official is Aureliano Enrique Cifuentes .
The authorized official title is Medical Director and has the following contact phone number (602) 442-4500.

The CLIA number assigned to this NPI record is 03D1007870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2009 and was last updated on 1/6/2009.

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:

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