Organization
GILA INTERNAL MEDICINE & GERIATRIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIANO E CIFUENTES MD (MD/OWNER)
(602) 323-0904
Entity
Organization
Contact information
Practice address
2727 W BASELINE RD., SUITE 8, TEMPE, AZ 85283-1068
(602) 323-0904
(602) 243-7616
Mailing address
2727 W. BASELINE RD., SUITE 8, TEMPE, AZ 85283-1068
(602) 323-0904
(602) 243-7616
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
11483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400655
UHC
AZ
01
—
1Z8080
HEALTHNET
AZ
01
—
2154623
AETNA
AZ
05
—
418039
—
AZ
01
—
6569834003
CIGNA
AZ
01
—
750125
HUMANA
AZ
01
—
98014189
GREAT WEST
AZ
01
—
AZ0714680
BCBS ARIZONA
AZ
01
—
PACIFICARE
99545
AZ
Enumeration date
01/24/2007
Last updated
08/12/2024
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