Provider Demographics
NPI:1215750849
Name:MACARAIG, JOSHUA BENHUR RAGOS (RN)
Entity type:Individual
Prefix:
First Name:JOSHUA BENHUR
Middle Name:RAGOS
Last Name:MACARAIG
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 RIVERDALE AVE APT 5K
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1031
Mailing Address - Country:US
Mailing Address - Phone:929-673-9764
Mailing Address - Fax:
Practice Address - Street 1:6200 RIVERDALE AVE APT 5K
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1031
Practice Address - Country:US
Practice Address - Phone:929-673-9764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY782599163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse