Provider Demographics
NPI:1912628835
Name:BARROGA, RICARDO PACPACO
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:PACPACO
Last Name:BARROGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MASSACHUSETTS AVE NW APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-4625
Mailing Address - Country:US
Mailing Address - Phone:703-786-8822
Mailing Address - Fax:
Practice Address - Street 1:1101 MASSACHUSETTS AVE NW
Practice Address - Street 2:#202
Practice Address - City:WASHINGTON, DC
Practice Address - State:DC
Practice Address - Zip Code:20005-4625
Practice Address - Country:US
Practice Address - Phone:240-817-9708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant