MEDICARE: JOSHUA BENHUR RAGOS MACARAIG RN

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
1	163W00000X	Registered Nurse	782599	NY

General Provider Information

NPI Number	:	1215750849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA BENHUR RAGOS MACARAIG RN

Provider Business Mailing Address
First Line	:	6200 RIVERDALE AVE APT 5K
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1031
Country	:	US
Telephone Number	:	929-673-9764
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 RIVERDALE AVE APT 5K
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1031
Country	:	US
Telephone Number	:	929-673-9764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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