MEDICARE: ERICK ENRIQUE PEREZ SIFONTES 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	69115	AZ
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1144725904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICK ENRIQUE PEREZ SIFONTES MD

Provider Business Mailing Address
First Line	:	PO BOX 31235
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85751-1235
Country	:	US
Telephone Number	:	520-324-5461
Fax Number	:	520-324-1406

Provider Business Practice Location Address
First Line	:	5301 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2805
Country	:	US
Telephone Number	:	520-324-5695
Fax Number	:	520-324-1583

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

Provider Enumeration Date	:	03/26/2018
Last Update Date	:	01/22/2026

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