ALFREDO GUEVARA, JR., MD - NPI 1114543204

Q: What is Alfredo Guevara, Jr., MD's NPI number?

The NPI number for Alfredo Guevara, Jr., MD is 1114543204. It was assigned to this organization in the NPPES registry on June 24, 2020. The provider is doing business as Santa Cruz Urology.

Q: What is Alfredo Guevara, Jr., MD's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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About Alfredo Guevara, Jr., Md NPPES

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

ALFREDO GUEVARA, JR., MD (NPI 1114543204), doing business as Santa Cruz Urology, is a healthcare organization registered as an urology in Nogales, Arizona and active in the NPI registry since June 2020. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Cecie Mavis, Billing Manager/office Manager, as its authorized official.

NPPES Registry Identity

NPI1114543204

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameALFREDO GUEVARA, JR., MD

Location Address507 N WESTERN AVENogales, AZ 85621-2060

Mailing Address507 N Western AveNogales, AZ 85621-2060 · (520) 761-3103 · Fax (520) 287-4862

Phone(520) 761-3103

Fax(520) 287-4862

Organization SubpartNo

Authorized OfficialCecie MavisBilling Manager/office Manager · (520) 761-3103

Enumeration DateJune 24, 2020

NPPES CertifiedJune 24, 2020

✔ NPI 1114543204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

507 N WESTERN AVE, Nogales, AZ 85621

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Other Names 1

Doing Business AsSanta Cruz Urology

Other Identifiers 1

Medicaid203216AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0711955

Alfredo Guevara MD · Nogales, AZ

Active · expires Aug 31, 2026

CLIA Number03D0711955

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAlfredo Guevara

Laboratory Phone(520) 761-3103

Laboratory LocationAlfredo Guevara MD507 N Western Ave, Nogales, AZ 85621

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

VALLEY ENT, PC

Otolaryngology