Healthcare Provider Details

I. General information

NPI: 1033925748
Provider Name (Legal Business Name): MONZERRAT ESPERICUETA ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N SCOTTSDALE RD STE 222
SCOTTSDALE AZ
85251-5649
US

IV. Provider business mailing address

3501 N SCOTTSDALE RD STE 222
SCOTTSDALE AZ
85251-5649
US

V. Phone/Fax

Practice location:
  • Phone: 480-542-2080
  • Fax: 480-621-8072
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11415
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: