# CLINICA MEDICA DEL SOL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588424154
- **Authorized official:** LUISA MARIA CINTRON (AUTHORIZED OFFICAL)
- **Authorized official phone:** (602) 513-3616

## Contact information

- **Practice address:** 636 W SOUTHERN AVE, MESA, AZ 85210-5005
- **Practice address phone:** (480) 969-5817
- **Practice address fax:** (480) 969-5505
- **Mailing address:** 636 W SOUTHERN AVE, MESA, AZ 85210-5005
- **Mailing address phone:** (480) 969-5817
- **Mailing address fax:** (480) 969-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 03/20/2024