Individual provider · Type 1 NPI
Macario Ruiz Vazquez, MD
General Practice Physician · Pine Grove, CA
NPI number
1689747032
Active
Practice location
19881 Hwy 88, Ste #5
Pine Grove, CA 95665
Fax (209) 296-6827
Mailing address
PO Box 1539
Pine Grove, CA 95665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A42097 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1689747032
Macario Ruiz Vazquez, MD's National Provider Identifier is 1689747032, issued on Nov 15, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pine Grove, CA. The record was last updated on Jul 8, 2007.