MEDICARE: DR. ALICIA ACEVEDO-URCUYO 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	207R00000X	Internal Medicine Physician	32996	AZ
2	208000000X	Pediatrics Physician	32996	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	20-1226757	OTHER	AZ	TAX ID#

General Provider Information

NPI Number	:	1841226644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA ACEVEDO-URCUYO M.D.

Provider Business Mailing Address
First Line	:	9305 W THOMAS RD STE 365
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3367
Country	:	US
Telephone Number	:	602-457-9915
Fax Number	:	888-836-5765

Provider Business Practice Location Address
First Line	:	9305 W THOMAS RD STE 365
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3367
Country	:	US
Telephone Number	:	602-457-9915
Fax Number	:	888-836-5765

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	12/17/2025

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