Active NPI
Dora Palacios
- Contractor
- Tucson, AZ
National Provider Identifier
1841543626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 675776
- Practice address
- 3042 W. Capistrano Rd.
Tucson, AZ 85746 - Phone
- (520) 883-8453
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 675776 | AZ | Primary |
Addresses
Primary practice location
3042 W. Capistrano Rd.
Tucson, AZ 85746
Mailing address
870 W. Miracle Mile Rd.
Tucson, AZ 85705
Phone (520) 750-9667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675776 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1841543626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 W. MIRACLE MILE RD.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85705",
"telephone_number": "520-750-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3042 W. CAPISTRANO RD.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85746",
"telephone_number": "520-883-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "DORA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "675776",
"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 Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.