Provider Demographics
NPI:1154469138
Name:RINLY R. GECOSALA, M.D., P.C.
Entity Type:Organization
Organization Name:RINLY R. GECOSALA, M.D., P.C.
Other - Org Name:CITYMED OCCUPATIONAL & FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RINLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GECOSALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:520-323-4661
Mailing Address - Street 1:4099 E 22ND ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5300
Mailing Address - Country:US
Mailing Address - Phone:520-323-4661
Mailing Address - Fax:520-319-1699
Practice Address - Street 1:4099 E 22ND ST STE 107
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-5300
Practice Address - Country:US
Practice Address - Phone:520-323-4661
Practice Address - Fax:520-319-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27229207Q00000X
AZ10110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ258295Medicaid
AZ464800Medicaid
AZH49024Medicare UPIN
AZ258295Medicaid
AZZ68803Medicare ID - Type UnspecifiedDR. GECOSALA
AZZ68802Medicare ID - Type UnspecifiedDR. MARTINEZ