| Rodrigo Maramba Cid, ANP | |
|
1225 Hancock Rd, Suite C, Bullhead City, AZ 86442-5948 | |
| (928) 758-0121 | |
| (928) 758-0128 |
| Full Name | Rodrigo Maramba Cid |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1225 Hancock Rd, Bullhead City, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306258116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | AP5504 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| River Valley Home Health | Lake havasu, AZ | Home health agency |
| Valley View Home Health | Bullhead city, AZ | Home health agency |
| Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desert Oasis Medical Center Pllc | 2466435144 | 2 |
| Paragon Physical Therapy And Rehab Llc | 4284902339 | 87 |
| Entity Name | Desert Oasis Medical Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336224369 PECOS PAC ID: 2466435144 Enrollment ID: O20040611001471 |
| Entity Name | Link Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073031357 PECOS PAC ID: 1759657604 Enrollment ID: O20171227002450 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodrigo Maramba Cid, ANP 1225 Hancock Rd, Suite C, Bullhead City, AZ 86442-5948 Ph: (928) 758-0121 | Rodrigo Maramba Cid, ANP 1225 Hancock Rd, Suite C, Bullhead City, AZ 86442-5948 Ph: (928) 758-0121 |
Mr. Christopher Alan Proctor, CNS, CRNFA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3454 Beale St, Bullhead City, AZ 86442 Phone: 928-763-1120 Fax: 775-227-0014 |