Organization Active NPI

Mario P. Valdez, M.D., P.C.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1629269329
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5399 Issued in AZ
Legal business name
MARIO P. VALDEZ, M.D., P.C.
Practice address
4609 S. 12TH Avenue
Tucson, AZ 85740
Phone
(520) 889-9694
Fax
(520) 889-9322
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mario P. Valdez, M.D.
Title
M.D.
Phone
(520) 889-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5399 AZ Primary

Addresses

Primary practice location

4609 S. 12TH Avenue
Tucson, AZ 85740

Mailing address

P.O. Box 37073
Tucson, AZ 85740
Phone (520) 889-9694

National Provider Directory

National Provider Directory

Locations

4609 S 12th Ave
Tucson, AZ 85714
Phone (520) 889-9694

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1629269329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 37073",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85740",
            "telephone_number": "520-889-9694",
            "fax_number": "520-889-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 S. 12TH AVENUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85740",
            "telephone_number": "520-889-9694",
            "fax_number": "520-889-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO P. VALDEZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "520-889-9694",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.