MEDICARE: FRANCISCO AMAYA-PINTO 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	207Q00000X	Family Medicine Physician	26265	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	031814	OTHER	AZ	MEDICARE
2	61788	OTHER	AZ	MEDICARE
3	031813	OTHER	AZ	MEDICARE
4	031828	OTHER	AZ	MEDICARE
5	031815	OTHER	AZ	MEDICARE
6	031820	OTHER	AZ	MEDICARE

General Provider Information

NPI Number	:	1205839388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO AMAYA-PINTO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 10097
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85130-0020
Country	:	US
Telephone Number	:	520-836-3446
Fax Number	:	520-836-8807

Provider Business Practice Location Address
First Line	:	1284 N ARIZONA BLVD
Second Line	:
City	:	COOLIDGE
State	:	AZ
Zip	:	85128-3206
Country	:	US
Telephone Number	:	520-723-9131
Fax Number	:	520-723-7974

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/18/2011

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Directions to “ FRANCISCO AMAYA-PINTO M.D.” Practice Location

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