MEDICARE: RIGOBERT CHAGUA

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	376K00000X	Nurse's Aide
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1962275990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIGOBERT CHAGUA

Provider Business Mailing Address
First Line	:	7509 TAYLOR ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-6319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 TAYLOR ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-6319
Country	:	US
Telephone Number	:	202-717-6501
Fax Number	:

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

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	11/01/2023

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Directions to “ RIGOBERT CHAGUA ” Practice Location

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