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 1:3260 N HAYDEN RD STE 112
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6650
Mailing Address - Country:US
Mailing Address - Phone:602-264-9100
Mailing Address - Fax:602-264-9101
Practice Address - Street 1:7490 N ORACLE RD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4404
Practice Address - Country:US
Practice Address - Phone:520-675-3076
Practice Address - Fax:520-290-8174
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2025-10-06
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