Individual
JUAN SIMON RICO MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
3850 BOSTON ST APT 7098, BALTIMORE, MD 21224-5788
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
W3036
TX
207RI0011X
Interventional Cardiology Physician
Primary
W3036
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
04/21/2026
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