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NPI Code Detail

MEDICARE: ROMMEL ALBERTO IZAGUIRRE PEREIRA MD

MEDICARE: ROMMEL ALBERTO IZAGUIRRE PEREIRA 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
1207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician77644AZ

General Provider Information

NPI Number : 1356692818
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMMEL ALBERTO IZAGUIRRE PEREIRA MD
Provider Business Mailing Address
First Line : 655 N ALVERNON WAY STE 204
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1825
Country : US
Telephone Number : 520-694-1460
Fax Number : 520-505-2476
Provider Business Practice Location Address
First Line : 707 N ALVERNON WAY STE 301
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1848
Country : US
Telephone Number : 520-694-1460
Fax Number : 520-505-2476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2012
Last Update Date : 03/09/2026

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