RIO NUEVO FAMILY PRACTICE, P.C.
Ambulatory Health at Anklam Rd, Tucson, AZ

License number
Arizona 27319
Category
Ambulatory Health
Type
Primary Care
Owner
Name: FREDELITO BARRIOS TIU M.D.
Title: MEDICAL DIRECTOR
Phone: (520) 792-8300
Address
Address
1702 W Anklam Rd SUITE 110, Tucson, AZ 85745
National Provider ID: 1467586552
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Rio Nuevo Family Practice

1702 W Anklam Rd, Tucson, AZ 85745

Status:
Inactive
Industry:
Medical Practice, Medical Doctor's Office
Doing business as:
RIO NUEVO FAMILY PRACTICE, PC
Inactive reason:
Delinquent annual report
Registration:
Oct 11, 2001
Inactive since:
Jan 15, 2015
Phone:
(520) 792-8300 (Phone)
State ID:
-1005428-7
Expiration:
PERPETUAL
Principals:
Fredelito B Tiu (President), 1702 W Anklam Rd #110, Tucson, AZ 85745 (Physical),Evelyn Sanchez Tiu (Secretary, Nurse Practitioner), 1702 W Anklam Rd #110, Tucson, AZ 85745 (Physical),Alina Reyes (Receptionist Secretary),...
Agent:
Steven G Sandoval,1702 W Anklam Rd Ste110, Tucson, AZ 85745 (Physical)
Categories:
Physicians & Surgeons

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