Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marco Antonio Ruvalcaba, DC

Individual provider Chiropractor · NPI 1245727593

Marco Antonio Ruvalcaba, DC is a Chiropractic in Meridian, Idaho. Qualified in 2017, 9 years ago. Practices with Prime Sports Med, a 4-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
9
Licensed in
CA, ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3223 E Louise Ave Ste 110
Meridian, ID 83642
Phone: (208) 466-0200
Fax: (208) 648-4086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6461971 (ID)
Chiropractor Taxonomy 111N00000X · Licence 34180 (CA)

Record details

NPI number1245727593
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 21, 2018
Last updated in NPPESNovember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Prime Sports Med — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian