Provider Demographics
NPI:1821039314
Name:BAEZ, LE ROI ARTURO (MD)
Entity type:Individual
Prefix:
First Name:LE ROI
Middle Name:ARTURO
Last Name:BAEZ
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 30175
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-0175
Mailing Address - Country:US
Mailing Address - Phone:520-401-7254
Mailing Address - Fax:520-881-3374
Practice Address - Street 1:6365 E TANQUE VERDE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3830
Practice Address - Country:US
Practice Address - Phone:520-886-1071
Practice Address - Fax:520-881-3374
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ30154207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ689052Medicaid
AZZ119893Medicare PIN
AZ689052Medicaid
AZH59420Medicare UPIN