Provider Demographics
NPI:1073189148
Name:BARRANON, RICARDO JESUS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:JESUS
Last Name:BARRANON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31288 FLORALVIEW DR N APT 107
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5850
Mailing Address - Country:US
Mailing Address - Phone:321-439-2425
Mailing Address - Fax:
Practice Address - Street 1:31288 FLORALVIEW DR N APT 107
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5850
Practice Address - Country:US
Practice Address - Phone:321-439-2425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program