1114391166 NPI number — TIRRITO MEDICAL CONSULTING GROUP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114391166 NPI number — TIRRITO MEDICAL CONSULTING GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TIRRITO MEDICAL CONSULTING GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TIRRITO MEDICAL CONSULTING GROUP PLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114391166
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 43160
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85733-3160
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-722-3777
Provider Business Mailing Address Fax Number:
520-296-6224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2404 E RIVER RD
Provider Second Line Business Practice Location Address:
BLDG 2, SUITE 100
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85718-6520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-547-3399
Provider Business Practice Location Address Fax Number:
520-547-2382
Provider Enumeration Date:
11/13/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TIRRITO
Authorized Official First Name:
SALVATORE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MD/OWNER
Authorized Official Telephone Number:
520-547-3399

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  3334 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)