Provider Demographics
NPI:1033177043
Name:GECOSALA, RINLY RUIZ (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RINLY
Middle Name:RUIZ
Last Name:GECOSALA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:E
Other - Last Name:MILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:CITYMED 4099 E 22ND ST
Mailing Address - Street 2:#107
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-323-4661
Mailing Address - Fax:520-319-1699
Practice Address - Street 1:CITYMED 4099 E 22ND ST
Practice Address - Street 2:#107
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711
Practice Address - Country:US
Practice Address - Phone:520-323-4661
Practice Address - Fax:520-319-1699
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27229207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH49024Medicare UPIN
AZ68803Medicare ID - Type Unspecified
AZD24996Medicare UPIN