Carlos, Gerardo

Carlos, Gerardo is an individual health care provider with primary practice located at 1260 S Campbell Ave Bldg 1 , Green Valley AZ 85614-0504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Carlos, Gerardo can be contacted via phone (520) 407-5900.

Contact Information

Primary practice address
1260 S Campbell Ave Bldg 1 Green Valley AZ 85614-0504
Fax: (520) 407-5990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15877 Arizona

Profile Details

NPI number 1831170570
LBN Legal business name Carlos, Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jan 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170570 NPPES
Arizona MEDICAID 275554

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