Healthcare Provider Details

I. General information

NPI: 1093256331
Provider Name (Legal Business Name): RACQUEL PARENTE CARRANZA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6452 E CARONDELET DR STE 100
TUCSON AZ
85710-2262
US

IV. Provider business mailing address

2424 N WYATT DR STE 260
TUCSON AZ
85712-6118
US

V. Phone/Fax

Practice location:
  • Phone: 520-323-0333
  • Fax: 520-323-5036
Mailing address:
  • Phone: 207-958-0805
  • Fax: 520-323-6237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number64091
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: