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NPI Code Detail

MEDICARE: RICARDO JUAN MONSERRATE M.D.

MEDICARE: RICARDO JUAN MONSERRATE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician235983NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043218936
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO JUAN MONSERRATE M.D.
Provider Business Mailing Address
First Line : 1279 E MAIN ST
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2583
Country : US
Telephone Number : 631-727-2100
Fax Number : 631-727-2646
Provider Business Practice Location Address
First Line : 1279 E MAIN ST
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2583
Country : US
Telephone Number : 631-727-2100
Fax Number : 631-727-2646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 03/03/2021

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Directions to “ RICARDO JUAN MONSERRATE M.D.” Practice Location

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