Provider Demographics
NPI:1780253831
Name:RINCHERE, JAMES YVAN BENSON (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:YVAN BENSON
Last Name:RINCHERE
Suffix:
Gender:
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:2100 S HIGHWAY 87
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:AZ
Mailing Address - Zip Code:86047-9789
Mailing Address - Country:US
Mailing Address - Phone:786-641-8769
Mailing Address - Fax:
Practice Address - Street 1:3333 W COMMERCIAL BLVD STE 110
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3407
Practice Address - Country:US
Practice Address - Phone:754-315-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPACN26363A00000X
AZ8810363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHSE33895Medicaid