Provider Demographics
NPI:1710203377
Name:ADOBBATI, RICARDO NORBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:NORBERTO
Last Name:ADOBBATI
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 1:1700 TESORO AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO VIEJO
Mailing Address - State:TX
Mailing Address - Zip Code:78575-9742
Mailing Address - Country:US
Mailing Address - Phone:956-350-3317
Mailing Address - Fax:
Practice Address - Street 1:1700 TESORO AVE
Practice Address - Street 2:
Practice Address - City:RANCHO VIEJO
Practice Address - State:TX
Practice Address - Zip Code:78575-9742
Practice Address - Country:US
Practice Address - Phone:956-350-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2428207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery