Provider Demographics
NPI:1891739017
Name:BORTUZZO, CRISTIANA (MD)
Entity Type:Individual
Prefix:
First Name:CRISTIANA
Middle Name:
Last Name:BORTUZZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 E ROSEWOOD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710
Mailing Address - Country:US
Mailing Address - Phone:520-547-4900
Mailing Address - Fax:520-547-2435
Practice Address - Street 1:8826 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-9607
Practice Address - Country:US
Practice Address - Phone:520-760-8972
Practice Address - Fax:520-760-3417
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35202207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ094775Medicaid
G29323Medicare UPIN
Z110445Medicare PIN
AZZ110445Medicare PIN
AZ094775Medicaid
AZZ72215Medicare PIN