Regent Physicians of Arizona, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30887 Issued in AZ

Legal business name

REGENT PHYSICIANS OF ARIZONA, PLLC

Practice address

1590 Paseo San Luis
101
Sierra Vista, AZ 85635-4782

Phone

(520) 220-5711

Fax

(520) 220-5709

NPI assigned

May 18, 2012

Last updated

May 16, 2014By 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. Leonardo C Serfino Jr., MD

Title

President

Phone

(520) 220-5711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1932469343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "BLDG 1, STE 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 PASEO SAN LUIS",
            "address_2": "101",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354782",
            "telephone_number": "520-220-5711",
            "fax_number": "520-220-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT PHYSICIANS OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "SERFINO",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-220-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736598",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, 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 May 16, 2014; 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.