Crisostomo, Ricardo H

Crisostomo, Ricardo H is an sole proprietor health care provider with primary practice located at 1 Mercardo St. Ste 100, Durango CO 81301-7306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Crisostomo, Ricardo H can be contacted via phone (970) 385-7977.

Contact Information

Primary practice address
1 Mercardo St. Ste 100 Durango CO 81301-7306
Phone: (970) 385-7977
Fax: (970) 385-6727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X DR.0067681 Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME89846 Florida

Profile Details

NPI number 1679533756
LBN Legal business name Crisostomo, Ricardo H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Jan 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679533756 NPPES
Florida MEDICAID 272461800

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