MEDICARE: MR. ALEJANDRO FIGUEROA PA

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	207P00000X	Emergency Medicine Physician	2545	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	86-0373636	OTHER	AZ	HUMANA GROUP
3	453051001	OTHER		GROUP HEALTH GROUP
4	39-81220	OTHER	AZ	EVERCARE GROUP
5	AW1436	OTHER	AZ	HEALTHNET GROUP

General Provider Information

NPI Number	:	1699756171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEJANDRO FIGUEROA PA

Provider Business Mailing Address
First Line	:	1250 SOUTH CLEARVIEW AVEUNE
Second Line	:	SUITE 100
City	:	MESA
State	:	AZ
Zip	:	85209
Country	:	US
Telephone Number	:	480-988-9108
Fax Number	:	480-813-4460

Provider Business Practice Location Address
First Line	:	6702 W BETHANY HOME RD
Second Line	:	SUITE 13,14, & 15
City	:	GLENDALE
State	:	AZ
Zip	:	85303-4402
Country	:	US
Telephone Number	:	623-435-7000
Fax Number	:	623-435-3947

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	04/03/2015

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Directions to “ MR. ALEJANDRO FIGUEROA PA” Practice Location

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