Provider Demographics
NPI:1881718021
Name:BAYNOSA, RICHARD CARINGAL (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CARINGAL
Last Name:BAYNOSA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2040 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2227
Mailing Address - Country:US
Mailing Address - Phone:702-671-2278
Mailing Address - Fax:702-671-2245
Practice Address - Street 1:1707 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 190
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2351
Practice Address - Country:US
Practice Address - Phone:702-671-5110
Practice Address - Fax:702-384-6592
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2012-12-12
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Provider Licenses
StateLicense IDTaxonomies
NV131332086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery