Individual provider · Type 1 NPI

Andre Lucas Ribeiro, MD

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1992201503 Active

Practice location

79 Retreat Ave
Hartford, CT 06106-2527

Call (860) 972-0200 Map

Fax (860) 545-3149

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992201503

Andre Lucas Ribeiro, MD's National Provider Identifier is 1992201503, issued on Apr 3, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Apr 3, 2018.