| Organization Name: | RICHMOND PRIMARY CARE SPECIALISTS, PC |
| NPI Number: | 1013048271 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIGUEL A TIRADO (PRESIDENT) |
| Mailing Address: | 305 Seguine Ave Suite 1 Staten Island |
| State: | NY US |
| Postal Code: | 103093730 |
| Phone Number: | 7189678300 |
| Fax Number: | 7189678335 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 211722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |