Jibaro Medical Clinic Pllc

NPI #1194734319 in Lakeside, Arizona

Provider Information

NPI Number
1194734319
Entity Type
Organization
Organization Name
Jibaro Medical Clinic Pllc
Primary Specialty
Internal Medicine
Enumeration Date
Aug 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
5658 HIGHWAY 260
Address 2
SUITE 19
State
Arizona
ZIP Code
85929-5189
Phone
(928) 532-5838

Authorized Official

Name
MIRZA RIVERA, M.D.
Title
OWNER
Phone
(923) 532-5838

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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