Provider Demographics
NPI:1548066285
Name:YANEZ, RICARDO IV
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:YANEZ
Suffix:IV
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 ARKINS CT UNIT 734
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-5392
Mailing Address - Country:US
Mailing Address - Phone:720-896-0144
Mailing Address - Fax:
Practice Address - Street 1:2950 ARKINS CT UNIT 734
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-5392
Practice Address - Country:US
Practice Address - Phone:720-896-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program