Individual
DR. RICARDO A AVILES
Active
Individual
DR. RICARDO A AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32367
AZ
207W00000X
Ophthalmology Physician
7754A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205837010
—
WY
05
—
874158
—
AZ
Enumeration date
08/02/2005
Last updated
04/07/2008
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