Provider Demographics
NPI:1598924847
Name:APRECIO, RAYDOLFO ABARO JR (SRNA)
Entity Type:Individual
Prefix:MR
First Name:RAYDOLFO
Middle Name:ABARO
Last Name:APRECIO
Suffix:JR
Gender:M
Credentials:SRNA
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Mailing Address - Street 1:26295 SNOWDEN AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4503
Mailing Address - Country:US
Mailing Address - Phone:909-838-1188
Mailing Address - Fax:
Practice Address - Street 1:292 CHICKADEE CIR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-1223
Practice Address - Country:US
Practice Address - Phone:951-369-5071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3774367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered