Ricardo M. Valbuena, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RICARDO M. VALBUENA, M.D., INC.

Practice address

1107 W Main St
Wilburton, OK 74578-5011

Phone

(918) 465-5681

Fax

(918) 465-5682

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo M Valbuena, M.D.

Title

President

Phone

(918) 465-5681

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1972832343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745785011",
            "telephone_number": "918-465-5681",
            "fax_number": "918-465-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745785011",
            "telephone_number": "918-465-5681",
            "fax_number": "918-465-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO M. VALBUENA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "VALBUENA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-465-5681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100064430B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Wilburton, OK
• Providers in Wilburton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.