Provider Demographics
NPI:1871761239
Name:ARMANDO J. ALFARO JR., M.D. P.C.
Entity type:Organization
Organization Name:ARMANDO J. ALFARO JR., M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALFARO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:520-323-9720
Mailing Address - Street 1:2304 N ROSEMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2139
Mailing Address - Country:US
Mailing Address - Phone:520-323-9720
Mailing Address - Fax:520-323-9972
Practice Address - Street 1:2304 N ROSEMONT BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2139
Practice Address - Country:US
Practice Address - Phone:520-323-9720
Practice Address - Fax:520-323-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ138432082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDH2350Medicare PIN
AZD36490Medicare UPIN
AZZ120250Medicare PIN