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

Manuel Mascarenas, PA

Individual provider Physician Assistant · NPI 1790568509

Manuel Mascarenas, PA is a Physician Assistant in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona and Puerto Rico.

Licensed in
AZ, PR
In the registry since
2023
Specialties on file
2
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

5190 E Farness Dr Ste 104
Tucson, AZ 85712-2142
Phone: (520) 795-7724
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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 9876 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 1375 (PR)

Record details

NPI number1790568509
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

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