Individual
RICARDO A MUJICA
Active
Individual
RICARDO A MUJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
216641
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090091
—
MA
01
—
470859
TUFTS
MA
01
—
J28302
BLUE CROSS BLUE SHIELD
MA
01
—
P00175721
RAIL ROAD MEDICARE
MA
Enumeration date
08/04/2006
Last updated
10/31/2008
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