MEDICARE: DR. PEDRO L FARINHA M.D.

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	207R00000X	Internal Medicine Physician	68674	AZ
2	207R00000X	Internal Medicine Physician	A63404	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	110153488	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	00A634040	OTHER	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00A634040	OTHER	BLUE SHIELD
4	625046	OTHER	AHI HEALTH LINK
5	93555B082	OTHER	TRIWEST/TRICARE
6	A63404	OTHER	IMG
7	00A634040	OTHER	COMMERCIAL INSURANCE
8	0616650001	OTHER	DME
10	CA0103	OTHER	JOHN DEERE

General Provider Information

NPI Number	:	1033113006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO L FARINHA M.D.

Provider Business Mailing Address
First Line	:	3221 N WINDSONG DR
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-1222
Country	:	US
Telephone Number	:	928-910-7010
Fax Number	:	928-910-7011

Provider Business Practice Location Address
First Line	:	3221 N WINDSONG DR
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-1222
Country	:	US
Telephone Number	:	928-910-7010
Fax Number	:	928-910-7011

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/15/2023

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Directions to “ DR. PEDRO L FARINHA M.D.” Practice Location

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