# AGAVE MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ralph A DSilva M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033622626
- **Authorized official:** RALPH A DISILVA M.D. (OWNER)
- **Authorized official phone:** (480) 219-6631

## Contact information

- **Practice address:** 1301 S. CRIMAON RD, MESA, AZ 85209-2737
- **Practice address phone:** (480) 219-6631
- **Practice address fax:** (480) 247-3251
- **Mailing address:** 2925 EAST RIGGS RD SUITE 8 PMB 179, CHANDLER, AZ 85249-3600
- **Mailing address phone:** (480) 219-6631
- **Mailing address fax:** (480) 247-3251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 36884 | AZ | Yes |

## Other

- **Enumeration date:** 11/06/2017
- **Last updated:** 11/06/2017