Organization
PUERTO SONORA INTERNAL MEDICINE
Active
Organization
PUERTO SONORA INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN PANGALLO (ACCOUNTING MANAGER - CREDENTIALING)
(702) 375-5777
Entity
Organization
Contact information
Practice address
4653 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7161
(480) 456-8981
(480) 456-2906
Mailing address
4653 S LAKESHORE DR STE 3, TEMPE, AZ 85282-7161
(480) 456-8981
(480) 456-2906
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
03/25/2021
Last updated
02/28/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up