| R S Balboa Mdpc | |
|
1201 Stone St Ste 5 Port Huron MI 48060-3563 | |
| (810) 966-9556 | |
| (810) 966-4898 |
| Full Name | R S Balboa Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 Stone St Ste 5, Port Huron, Michigan |
| Authorized Official Name and Position | Ronaldo S Balboa (OWNER) |
| Authorized Official Contact | 8109669556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R S Balboa Mdpc 1201 Stone St Ste 5 Port Huron MI 48060-3563 Ph: (810) 966-9556 | R S Balboa Mdpc 1201 Stone St Ste 5 Port Huron MI 48060-3563 Ph: (810) 966-9556 |
| NPI Number | 1801024807 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 12/15/2009 |
| Medicare PECOS PAC ID | 8022161793 |
|---|---|
| Medicare Enrollment ID | O20090728000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801024807 | NPI | - | NPPES |
| 110094613 | Other | MI | RAILROAD MEDICARE |
| 1006297 | Medicaid | MI | |
| 0740374 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RB028997 (Michigan) | Primary |
| Provider Name | Ronaldo Salcedo Balboa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417941055 PECOS PAC ID: 7012826886 Enrollment ID: I20090728000335 |
Colonial Woods Christian Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Military St, Port Huron, MI 48060 Phone: 810-984-5575 Fax: 810-984-6433 | |
St. Clair Medical P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1209 10th St, Suite E, Port Huron, MI 48060 Phone: 810-985-8170 Fax: 810-985-4660 | |
Riad R. Hajjar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Stone St, Ste 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898 | |
Community First Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 Military St, Port Huron, MI 48060 Phone: 810-488-8000 Fax: 810-488-8005 | |
Blue Water Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 10th Ave, Port Huron, MI 48060 Phone: 810-622-3505 Fax: 810-662-3479 | |
Peoples' Clinic For Better Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-4747 Fax: 810-985-5579 | |
Hospitalist Medicine Physicians Of Michigan - Port Huron, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 |