NPI: 1891450474 · SAN LUIS, AZ 85336 · Family Medicine Physician · NPI assigned 11/08/2021
| Authorized Official | GONZALEZ RUIZ, CECILIA (CEO) |
| NPI Enumeration Date | 11/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $644.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 12 | 12 | $644.24 |