Provider Demographics
NPI:1952935025
Name:RANCES, ROLANDO (RESPIRATORY THERAPIS)
Entity Type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:RANCES
Suffix:
Gender:M
Credentials:RESPIRATORY THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27507 N 22ND LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-3782
Mailing Address - Country:US
Mailing Address - Phone:818-422-6051
Mailing Address - Fax:
Practice Address - Street 1:27507 N 22ND LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-3782
Practice Address - Country:US
Practice Address - Phone:818-422-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ007154227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified