Organization Active NPI

Puente Nuevo #2, LLC, Dba la Paloma Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
National Provider Identifier
1760817746
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC5398 Issued in AZ
Legal business name
PUENTE NUEVO #2, LLC, DBA LA PALOMA SURGERY CENTER
Practice address
4041 E Sunrise Dr
Tucson, AZ 85718-4333
Phone
(520) 722-6277
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Dr. Patricia Mars, M.D.
Title
Manager
Phone
(520) 722-6277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC5398 AZ Primary

Addresses

Primary practice location

4041 E Sunrise Dr
Tucson, AZ 85718-4333

Mailing address

4041 E Sunrise Dr
Tucson, AZ 85718-4333
Phone (520) 722-6277

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2036010Puente Nuevo #2 LLC4041 E Sunrise Drive, Tucson, AZ 85718Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1760817746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184333",
            "telephone_number": "520-722-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184333",
            "telephone_number": "520-722-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTE NUEVO #2, LLC, DBA LA PALOMA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-722-6277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC5398",
            "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 Sep 9, 2013; 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.