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NPI Code Detail

MEDICARE: DR. RICARDO ANDRES BANCHS PLA DC

MEDICARE: DR. RICARDO ANDRES BANCHS PLA DC
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
1111N00000XChiropractor9142AZ

General Provider Information

NPI Number : 1073285615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICARDO ANDRES BANCHS PLA DC
Provider Business Mailing Address
First Line : URB. MIRADERO GARDENS
Second Line : CALLE PALMA REAL #30
City : MAYAGUEZ
State : PR
Zip : 00682
Country : US
Telephone Number : 787-236-0496
Fax Number :
Provider Business Practice Location Address
First Line : 2836 E INDIAN SCHOOL RD STE A8
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-6864
Country : US
Telephone Number : 602-840-0056
Fax Number : 602-840-4056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2021
Last Update Date : 02/14/2024

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