Individual provider Active NPI

Jorge Rainier Alzuri Hernandez, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1114787405
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1816 Issued in PR
Practice address
3140 N 35TH Ave Ste 7
Phoenix, AZ 85017-5270
Phone
(602) 353-6656
Fax
(602) 442-2065
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1816 PR Primary
Physician Assistant 363A00000X 10557 AZ

Addresses

Primary practice location

3140 N 35TH Ave Ste 7
Phoenix, AZ 85017-5270

Mailing address

3140 N 35TH Ave Ste 7
Phoenix, AZ 85017-5270
Phone (602) 353-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830003040 AZ Practitioner - Physician Assistant 4880133016 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

13402 N 32ND St
Suite 5
Phoenix, AZ 85032-6047
Phone (602) 569-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10557AZMDDentist
1816PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Latino Care, LLC Current Accepting new patients
Latino Care, LLC CurrentSince Jul 24, 2025 Accepting new patients
Latino Care, LLC CurrentSince Jul 24, 2025 Accepting new patients
Michael F Esber DPM PC Past Accepting new patients
Gregg Krahn DPM PC Past Accepting new patients
Floyd I Miller DPM PC Past Accepting new patients
Clinica la Familia, PC Past Accepting new patients

Locations

3102 E Indian School Rd
Ste 130
Phoenix, AZ 85016
Phone (602) 252-0202

5847 S 16th St
Phoenix, AZ 85040
Phone (602) 268-3451

3140 N 35th Ave
Ste 7
Phoenix, AZ 85017
Phone (602) 353-6656

Interoperability endpoints

  • Direct secure messaging: jorge.alzuri.hernandez.1@32673.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114787405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270",
            "telephone_number": "602-353-6656",
            "fax_number": "602-442-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N 35TH AVE STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175270",
            "telephone_number": "602-353-6656",
            "fax_number": "602-442-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZURI HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "RAINIER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1816",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.