Ibarria, Rodolfo

Ibarria, Rodolfo is an sole proprietor health care provider with primary practice located at 50 Malden St Apt 112 , Boston MA 02118-2888. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Student Health, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Ibarria, Rodolfo can be contacted via phone (786) 372-5094.

Contact Information

Primary practice address
50 Malden St Apt 112 Boston MA 02118-2888
Phone: (786) 372-5094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X
Dental Providers / General Practice 1223G0001X DN1859811 Massachusetts

Profile Details

NPI number 1366158792
LBN Legal business name Ibarria, Rodolfo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2023
Last updated Jun 23rd, 2023 - about 2 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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