MEDICARE: THIAGO CAVALCANTE RIBEIRO

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	175F00000X	Naturopath	25-1922	AZ

General Provider Information

NPI Number	:	1275327033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THIAGO CAVALCANTE RIBEIRO

Provider Business Mailing Address
First Line	:	7900 E PRINCESS DR APT 1017
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-5807
Country	:	US
Telephone Number	:	480-247-1705
Fax Number	:

Provider Business Practice Location Address
First Line	:	8952 E DESERT COVE AVE STE 208
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6777
Country	:	US
Telephone Number	:	480-771-4422
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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Directions to “ THIAGO CAVALCANTE RIBEIRO ” Practice Location

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