Provider Demographics
NPI:1073285615
Name:BANCHS PLA, RICARDO ANDRES (DC)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:ANDRES
Last Name:BANCHS PLA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MIRADERO GARDENS
Mailing Address - Street 2:CALLE PALMA REAL #30
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-236-0496
Mailing Address - Fax:
Practice Address - Street 1:2836 E INDIAN SCHOOL RD STE A8
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6864
Practice Address - Country:US
Practice Address - Phone:602-840-0056
Practice Address - Fax:602-840-4056
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor