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NPI Verification

National Provider Identifier: 1780324483

Ricky Andres Aguayo-Ortega

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

190 E BANNOCK ST

BOISE, ID 837126241

NPI Enumeration Date

March 30, 2022

NPI Number

1780324483

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry