Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care Az Cs PC

Organization Family Medicine Physician · NPI 1477418382

Centerwell Senior Primary Care Az Cs PC is a Family Medicine Physician in Surprise, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14749 W Mountain View Blvd Ste 138
Surprise, AZ 85374-2704
Phone: (623) 738-0440
Fax: (480) 374-8051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1477418382
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Az Cs PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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