Provider Demographics
NPI:1245323864
Name:RICARDO Z VINUYA MD PLC
Entity type:Organization
Organization Name:RICARDO Z VINUYA MD PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VINUYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-723-0817
Mailing Address - Street 1:32270 TELEGRAPH RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025
Mailing Address - Country:US
Mailing Address - Phone:248-723-0817
Mailing Address - Fax:
Practice Address - Street 1:32270 TELEGRAPH RD
Practice Address - Street 2:SUITE 175
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-723-0817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRV054586207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI030F339910OtherBCBS OF MICHIGAN
MIG20934Medicare UPIN
MI030F339910OtherBCBS OF MICHIGAN
MI15918OtherMCARE