Alfredo Guevara, Jr., MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ALFREDO GUEVARA, JR., MD

Doing business as

Santa Cruz Urology

Practice address

507 N Western Ave
Nogales, AZ 85621-2060

Phone

(520) 761-3103

Fax

(520) 287-4862

NPI assigned

Jun 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecie Mavis

Title

Billing Manager/Office Manager

Phone

(520) 761-3103

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santa Cruz Urology Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfredo Guevara Jr., MD FACS

  • Urology Physician
  • Nogales, AZ
  • NPI 1184612376
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1114543204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N WESTERN AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212060",
            "telephone_number": "520-761-3103",
            "fax_number": "520-287-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N WESTERN AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212060",
            "telephone_number": "520-761-3103",
            "fax_number": "520-287-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO GUEVARA, JR., MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "MAVIS",
        "authorized_official_first_name": "CECIE",
        "authorized_official_title_or_position": "BILLING MANAGER/OFFICE MANAGER",
        "authorized_official_telephone_number": "520-761-3103"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203216",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary B Adam, M.D., PHD
• Akdhc, LLC
• Michael D Allen, DMD
• Alliance Counseling Center
• Christina Alvarez, RDH
• Crystal Alvarez
• Cadean Anderson

• Urology Physician in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.