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Individual
DR. RICO AMANCIO ARAGON
Active
Individual
DR. RICO AMANCIO ARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528017860
NPI
SC
01
—
22894
STATE LICENSE
SC
01
—
G357326089
MEDICARE ID
—
05
—
Q00846
—
SC
Enumeration date
05/05/2006
Last updated
06/09/2015
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