Healthcare Provider Details

I. General information

NPI: 1861539678
Provider Name (Legal Business Name): RICARDO GALBIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 12/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1843 S ST NW
WASHINGTON DC
20009-6124
US

IV. Provider business mailing address

1843 S ST NW
WASHINGTON DC
20009-6124
US

V. Phone/Fax

Practice location:
  • Phone: 202-483-8178
  • Fax:
Mailing address:
  • Phone: 202-291-4707
  • Fax: 202-723-4560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2781
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: