Provider Demographics
NPI:1265073456
Name:ACE SURGICAL ASSIST, PLC
Entity type:Organization
Organization Name:ACE SURGICAL ASSIST, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:LIZETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-535-9777
Mailing Address - Street 1:13954 W WADDELL RD STE 103-101
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-8750
Mailing Address - Country:US
Mailing Address - Phone:623-535-9777
Mailing Address - Fax:623-236-3179
Practice Address - Street 1:13954 W WADDELL RD STE 103-101
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-8750
Practice Address - Country:US
Practice Address - Phone:623-535-9777
Practice Address - Fax:623-236-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center