Individual
DR. RICARDO JUAREZ
Active
Individual
DR. RICARDO JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G59010
CA
207RP1001X
Pulmonary Disease Physician
G59010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G590100
BLUE SHIELD
CA
05
—
00G590100
—
CA
01
—
110098736
RAILROAD MEDICARE
CA
01
—
1356390009
GROUP NPI
CA
01
—
1902846306
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID PIN
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W11675
GROUP MEDICARE PIN
CA
01
—
W18762
MEDICARE GROUP ID
CA
Enumeration date
06/30/2006
Last updated
05/11/2015
Update your record
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