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JIBARO MEDICAL CLINIC PLLC
NPI 1194734319
Internal Medicine in Lakeside, AZ

Active since August 05, 2006
5658 HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929(928) 532-5838(928) 532-6670 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jibaro Medical Clinic Pllc NPPES

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

JIBARO MEDICAL CLINIC PLLC (NPI 1194734319) is a healthcare organization registered as an internal medicine in Lakeside, Arizona and active in the NPI registry since August 2006. The organization lists Mirza Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1194734319
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJIBARO MEDICAL CLINIC PLLC
Location Address5658 HIGHWAY 260, SUITE 19Lakeside, AZ 85929-5189
Mailing AddressPo Box 1150Show Low, AZ 85902-1150 · (928) 532-5838 · Fax (928) 532-6670
Phone(928) 532-5838
Fax(928) 532-6670
Organization SubpartNo
Authorized OfficialMirza RiveraOwner · (923) 532-5838
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194734319 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 · 24947
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.
5658 HIGHWAY 260, Lakeside, AZ 85929
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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

Other Providers at the Same Location NPPES 7

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

CHARLES PAUL ROBERTSON M.D.
Family Medicine
5658 HIGHWAY 260, SUITE 24
LAKESIDE, AZ 85929
Navajo County (928) 537-4379
WHITE MOUNTAIN FAMILY PRACTICE ASSOCIATES LTD
Family Medicine
5658 HIGHWAY 260, SUITE 19
LAKESIDE, AZ 85929
Navajo County (928) 532-5838
MRS. BOBETTE S MARTIN M.A.,CCC-A
Audiologist
5658 HIGHWAY 260, STE 4
LAKESIDE, AZ 85929
Navajo County (928) 537-7373
LAURA L VANDENHEEDE M.D.
Orthopaedic Surgery
5658 HIGHWAY 260, SUITE 7
LAKESIDE, AZ 85929
Navajo County (928) 537-3399
LAKESIDE FAMILY HEALTH CENTER PC
Family Medicine
5658 HIGHWAY 260, SUITE 24
LAKESIDE, AZ 85929
Navajo County (928) 537-4379
WOMEN FIRST GYN PLLC
Clinical Nurse Specialist (Women's Health)
5658 HIGHWAY 260, SUITE 19
LAKESIDE, AZ 85929
Navajo County (928) 535-6667
SUSAN BLIGH ROBERTSON CNM
Advanced Practice Midwife
5658 HIGHWAY 260, SUITE 24
LAKESIDE, AZ 85929
Navajo County (928) 537-4379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jibaro Medical Clinic PLLC's NPI number?

The NPI number for Jibaro Medical Clinic PLLC is 1194734319. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Jibaro Medical Clinic PLLC located?

Jibaro Medical Clinic PLLC is located at 5658 Highway 260 Suite 19, Lakeside, AZ 85929. The listed phone number is (928) 532-5838.

What is Jibaro Medical Clinic PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jibaro Medical Clinic PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.