Provider Demographics
NPI:1205839388
Name:AMAYA-PINTO, FRANCISCO (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:AMAYA-PINTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10097
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85130-0020
Mailing Address - Country:US
Mailing Address - Phone:520-836-3446
Mailing Address - Fax:520-836-8807
Practice Address - Street 1:1284 N ARIZONA BLVD
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85128-3206
Practice Address - Country:US
Practice Address - Phone:520-723-9131
Practice Address - Fax:520-723-7974
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ031814OtherMEDICARE
AZ61788OtherMEDICARE
AZ031813OtherMEDICARE
AZ031828OtherMEDICARE
AZ031815OtherMEDICARE
AZ031820OtherMEDICARE
AZ031813OtherMEDICARE
AZ61788OtherMEDICARE