Provider Demographics
NPI:1659493120
Name:CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALISTS, PC
Entity Type:Organization
Organization Name:CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FONOIMOANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-382-4795
Mailing Address - Street 1:7520 N ORACLE RD SUITE 100
Mailing Address - Street 2:CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, P.
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-408-1133
Mailing Address - Fax:520-408-2233
Practice Address - Street 1:7520 N ORACLE RD SUITE 100
Practice Address - Street 2:CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, P.
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-408-1133
Practice Address - Fax:520-408-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ940123Medicaid
AZZ103335Medicare PIN