Provider Demographics
NPI:1356100374
Name:RICA MEDICAL
Entity type:Organization
Organization Name:RICA MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NII
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-636-6619
Mailing Address - Street 1:801 FM 1463 RD STE 200252
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7924
Mailing Address - Country:US
Mailing Address - Phone:315-636-6619
Mailing Address - Fax:
Practice Address - Street 1:801 FM 1463 RD STE 200252
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7924
Practice Address - Country:US
Practice Address - Phone:315-636-6619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies