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NPI Code Detail

MEDICARE: ALONSO CARRERAS GONZALEZ M.D.

MEDICARE: ALONSO CARRERAS GONZALEZ 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
1207R00000XInternal Medicine Physician79040AZ
2390200000XStudent in an Organized Health Care Education/Training Program
3208M00000XHospitalist Physician79040AZ

General Provider Information

NPI Number : 1083303838
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALONSO CARRERAS GONZALEZ M.D.
Provider Business Mailing Address
First Line : 3100 N.CENTRAL AVE
Second Line : CREIGHTON UNIVERSITY #711D
City : PHOENIX
State : AZ
Zip : 85012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10401 W THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3004
Country : US
Telephone Number : 623-832-4728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2023
Last Update Date : 06/02/2026

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