EDUARDO ALONSO GARCIA LICERIO MD
NPI 1093568727
Internal Medicine in Tucson, AZ

Q: What is Eduardo Garcia Licerio's NPI number?

The NPI number for Eduardo Garcia Licerio is 1093568727. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Q: What is Eduardo Garcia Licerio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 11, 2024PECOS Enrolled

2800 E AJO WAY STE 100, TUCSON, AZ 85713(520) 874-2778(520) 874-3456 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eduardo Alonso Garcia Licerio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUARDO ALONSO GARCIA LICERIO MD (NPI 1093568727) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (R80787) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093568727

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameEDUARDO ALONSO GARCIA LICERIOCredential: MD

Location Address2800 E AJO WAY STE 100Tucson, AZ 85713-6204

Mailing Address2800 E Ajo Way Ste 100Tucson, AZ 85713-6204 · (520) 874-2778 · Fax (520) 874-3456

Phone(520) 874-2778

Fax(520) 874-3456

Sole ProprietorYes

Enumeration DateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1093568727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · R80787

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2800 E AJO WAY STE 100, Tucson, AZ 85713

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eduardo Alonso Garcia Licerio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM JOSEPH MATLOFF

Internal Medicine