Vincent R C Maribao MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VINCENT R C MARIBAO MD PC

Practice address

29167 Jefferson Ave Ste 100
Saint Clair Shores, MI 48081-1331

Phone

(586) 498-1160

NPI assigned

Jul 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent R. C. Maribao, MD

Title

Owner

Phone

(586) 498-1160

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Colina Maribao, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1902835168
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1730114760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29167 JEFFERSON AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811331",
            "telephone_number": "586-498-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29167 JEFFERSON AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811331",
            "telephone_number": "586-498-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT R C MARIBAO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MARIBAO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "R. C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-498-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4177064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Vichunas, PA-C
• Macayla View
• Cesar De Jesus Villa
• Michael Villa, HIS
• Ruth A. Villanueva
• Vincents RX LLC
• Vines Pharmacy LLC (Vines Pharmacy)
• Daljit Virdi, RPH
• Van Chau Hong Vo, M.D.
• John Vollmer, PA-C

• Internal Medicine Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.