MEDICARE: DR. FRANCISCO MIGUEL RALLS M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD2008-0782	NM
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	MD2008-0782	NM
3	207Q00000X	Family Medicine Physician	MD2008-0782	NM
4	207QS1201X	Sleep Medicine (Family Medicine) Physician	MD2008-0782	NM
5	207QS1201X	Sleep Medicine (Family Medicine) Physician	61241	AZ

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1164491122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO MIGUEL RALLS M.D.

Provider Business Mailing Address
First Line	:	8330 E HARTFORD DR STE 100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-7205
Country	:	US
Telephone Number	:	480-745-3547
Fax Number	:	480-745-3548

Provider Business Practice Location Address
First Line	:	1530 E WILLIAMS FIELD RD STE 204
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-1825
Country	:	US
Telephone Number	:	480-745-3547
Fax Number	:	480-745-3548

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/08/2024

1530 E WILLIAMS FIELD RD STE 204
GILBERT, AZ
85295-1825

Practice Phone: 480-745-3547
Practice Fax: 480-745-3548