Individual
RICARDO M BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HONOLULU, HI 96859-5001
(808) 433-6393
(808) 433-4688
Mailing address
46-294 IKIIKI ST, KANEOHE, HI 96744-4033
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
318130
NY
2085R0202X
Diagnostic Radiology Physician
Primary
10796
HI
2085R0202X
Diagnostic Radiology Physician
318130
NY
Other
Enumeration date
10/24/2005
Last updated
08/31/2022
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