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VINCENT R.C. MARIBAO MD PC
NPI 1730114760
Internal Medicine in Saint Clair Shores, MI

Active since July 11, 2006CLIA 23D0962982 · Waiver
29167 JEFFERSON AVE STE 100, SAINT CLAIR SHORES, MI 48081(586) 498-1160 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent R.c. Maribao Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT R.C. MARIBAO MD PC (NPI 1730114760) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Vincent R. C. Maribao, Owner, as its authorized official.

NPPES Registry Identity

NPI1730114760
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVINCENT R.C. MARIBAO MD PC
Location Address29167 JEFFERSON AVE STE 100Saint Clair Shores, MI 48081-1331
Mailing Address29167 Jefferson Ave Ste 100Saint Clair Shores, MI 48081-1331 · (586) 498-1160
Phone(586) 498-1160
Organization SubpartNo
Authorized OfficialVincent R. C. MaribaoOwner · (586) 498-1160
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 1, 2019
✔ NPI 1730114760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
29167 JEFFERSON AVE STE 100, Saint Clair Shores, MI 48081
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Other Identifiers 1

Medicaid4177064MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0962982

Vincent R C Maribao MD PC · St Clair Shores, MI
Active · expires Nov 29, 2027
CLIA Number23D0962982
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorVincent R C Maribao
Laboratory Phone(586) 498-1160
Laboratory LocationVincent R C Maribao MD PC29167 Jefferson Avenue Suite 100, St Clair Shores, MI 48081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINCENT COLINA MARIBAO MD
Internal Medicine
29167 JEFFERSON AVE STE 100
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 498-1160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent R.C. Maribao MD PC's NPI number?

The NPI number for Vincent R.C. Maribao MD PC is 1730114760. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Vincent R.C. Maribao MD PC located?

Vincent R.C. Maribao MD PC is located at 29167 Jefferson Ave Ste 100, Saint Clair Shores, MI 48081. The listed phone number is (586) 498-1160.

What is Vincent R.C. Maribao MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vincent R.C. Maribao MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0962982) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vincent R.C. Maribao MD PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vincent R.C. Maribao MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vincent R.C. Maribao MD PC was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.