Rago, Jose Ivan

Rago, Jose Ivan is an sole proprietor health care provider with primary practice located at 287 E. Hunt Highway Suite 105, San Tan Valley AZ 85143-5096. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Rago, Jose Ivan can be contacted via phone (480) 677-8282.

Contact Information

Primary practice address
287 E. Hunt Highway Suite 105 San Tan Valley AZ 85143-5096
Phone: (480) 677-8282
Fax: (480) 677-8283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X R70138 Arizona
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 42140 Arizona

Profile Details

NPI number 1477714137
LBN Legal business name Rago, Jose Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Dec 3rd, 2019 - about 6 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 1477714137 NPPES
Arizona Other 1477714137 MEDICARE-NPI
Arizona MEDICAID 463254 MEDICARE-NPI

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