MEDICARE: JORGE M URIBE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	32517	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750347381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE M URIBE MD

Provider Business Mailing Address
First Line	:	2810 N SWAN RD
Second Line	:	SUITE 100
City	:	TUCSON
State	:	AZ
Zip	:	85712-6305
Country	:	US
Telephone Number	:	520-324-2030
Fax Number	:	520-324-2619

Provider Business Practice Location Address
First Line	:	2810 N SWAN RD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-6300
Country	:	US
Telephone Number	:	520-324-2030
Fax Number	:	520-445-6019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	09/10/2019

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Directions to “ JORGE M URIBE MD” Practice Location

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