Centro Medico de Diabetes, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29615 Issued in AZ

Legal business name

CENTRO MEDICO DE DIABETES, PLLC

Practice address

13402 N 32ND St
Suite #3
Phoenix, AZ 85032-6047

Phone

(602) 493-0023

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Celaya, MDNPI 1548883432

Title

President

Phone

(602) 493-0023

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Celaya, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1548883432
  Authorized official Same address or phone

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1609046309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "address_2": "SUITE #3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047",
            "telephone_number": "602-493-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "address_2": "SUITE #3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047",
            "telephone_number": "602-493-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DE DIABETES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "CELAYA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-493-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616245",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Valley Surgeons PC
• Central Valley Testing Center LLC
• Centric Care Management Inc
• Centro de Amistad, Incorporado
• Centro de Salud Familiar
• Centro Medico del Valle PC
• Century Dental Group, PC
• Century Health LLC
• Clara Guadalupe Cepeda, SLP-A
• Robert Michael Cercek Jr., MD

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.