Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSE IVAN RAGO, M.D.
Active Sole ProprietorJOSE IVAN RAGO, M.D. is a Adolescent Medicine healthcare provider located in SAN TAN VALLEY, Arizona. NPI 1477714137 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SAN TAN VALLEY, AZ
Registration Details
- NPI Number
- 1477714137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2008 (18.158815579627 yrs)
- Last Updated
- Dec 3, 2019
- Licenses
-
R70138 (AZ)42140 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
287 E. HUNT HIGHWAYSUITE 105SAN TAN VALLEY, AZ, 851435096Browse AZ providers · Browse ZIP 85143
- Phone
- 4806778282
- Fax
- 4806778283
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.