Provider Demographics
NPI:1508361593
Name:HINOJOS, RICARDO R
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:R
Last Name:HINOJOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13225 N FOUNTAIN HILLS BLVD APT 309
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3872
Mailing Address - Country:US
Mailing Address - Phone:602-323-4363
Mailing Address - Fax:
Practice Address - Street 1:13225 N FOUNTAIN HILLS BLVD APT 309
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3872
Practice Address - Country:US
Practice Address - Phone:602-323-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)