Individual
BENIGNO F DECENA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4729 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 838-3540
(520) 325-3526
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 838-2138
(520) 624-2798
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
32303
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
32303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079115
FIRST HEALTH
AZ
01
—
2198100
GHI
AZ
01
—
2Z0331
HEALTH NET
AZ
01
—
5427615
CCN
AZ
01
—
7597308
AETNA
AZ
05
—
830340
—
AZ
01
—
886331
USA MANAGED CARE ORGANIZA
AZ
01
—
AZ0743710
BCBS OF ARIZONA
AZ
01
—
P00084839
RAILROAD MEDICARE
AZ
Enumeration date
05/23/2005
Last updated
02/01/2018
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