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NPI Code Detail

MEDICARE: RICARDO C ALFAFARA M.D.

MEDICARE:   RICARDO C ALFAFARA  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 Physician14543AZ

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 : 1255397709
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO C ALFAFARA M.D.
Provider Business Mailing Address
First Line : 1648 HIGHWAY 95
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-7906
Country : US
Telephone Number : 928-758-4114
Fax Number : 928-758-4650
Provider Business Practice Location Address
First Line : 1648 HIGHWAY 95
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-7906
Country : US
Telephone Number : 928-758-4114
Fax Number : 928-758-4650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 02/22/2016

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Directions to “ RICARDO C ALFAFARA M.D.” Practice Location

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