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R S Balboa Mdpc

Internal Medicine Physician in Port Huron, MI · enumerated 2009 · authorized official Ronaldo Balboa, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801024807

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Registry record

Entity type Organization (Type 2)
Legal business name R S Balboa Mdpc
Practice address 1201 Stone St Ste 5, Port Huron, MI, 48060
Fax (810) 966-4898
Enumeration date Jun 29, 2009
Last updated in NPPES Dec 15, 2009

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License RB028997 (MI) Primary

Authorized official

Name Ronaldo Balboa
Title Owner

Other identifiers

Identifier Type State Issuer
110094613 Other MI RAILROAD MEDICARE
1006297 Medicaid MI -
0740374 Other MI BCBSM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for R S Balboa Mdpc?
NPPES lists Ronaldo Balboa (Owner) as the authorized official for this organization.
What is the NPI number for R S Balboa Mdpc?
The NPI for R S Balboa Mdpc is 1801024807, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-15.