Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gustavo Adolfo Tangarife Sr., PA

Individual provider Physician Assistant · NPI 1174137525

Gustavo Adolfo Tangarife Sr., PA is a Physician Assistant in Memphis, Tennessee. Licensed in Puerto Rico. Registered with an NPI since 2020.

Licensed in
PR
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2193 Morning Vista Dr
Memphis, TN 38134-6018
Phone: (901) 283-8047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000663-PA (PR)

Record details

NPI number1174137525
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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