Ricardo Longoria, M.D.
Individual provider Active NPI Specialist · Berwyn Heights, MD
NPI 1073725313 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073725313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- D0013002 (MD)
- Practice address
- 6201 Greenbelt Rd
Suite M-16
Berwyn Heights, MD 20740-2354 - Phone
- (301) 598-7585
- Fax
- (301) 598-7586
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0013002 | MD | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0013002 | MD | Yes |
Addresses
Primary practice location
6201 Greenbelt Rd
Suite M-16
Berwyn Heights, MD 20740-2354
Mailing address
6201 Greenbelt Rd
Suite M-16
Berwyn Heights, MD 20740-2354
Phone (301) 598-7585
Other providers in Berwyn Heights, MD
- Mosunmola Sandra Lake
- Gerard Sherman Lamkin
- Leap Homecare Inc.
- Jun Y. Lee
- Leeann Rhodes, M.D., P.C.
- Aaron Michael Lubick
- Angelina Manga
- Maryland Health and Wellness Solution LLC
- Maryland Health and Wellness Solution LLC
- Alvine Anjei Mba
All providers in Berwyn Heights, MD · Specialist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.