Provider Demographics
NPI:1841270865
Name:OCHOA, RICARDO A (MD PA)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:A
Last Name:OCHOA
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 531461
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-1461
Mailing Address - Country:US
Mailing Address - Phone:956-421-4966
Mailing Address - Fax:956-428-8930
Practice Address - Street 1:632 N ED CAREY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7508
Practice Address - Country:US
Practice Address - Phone:956-421-4966
Practice Address - Fax:956-421-4689
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH62575Medicare UPIN
TX8F2305Medicare PIN