Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | L-251553 | MA |
Y | 111NI0900X | Internist | L-251553 | MA |
N | 207RI0011X | Interventional Cardiology | 265011 | MA |
NPI | 1114281581 |
---|---|
Provider Name | Ricardo J Cigarroa |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2012 |
Last Update Date | 15/07/2019 |