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
Mailing address3223 E Louise Ave, Suite 110, Meridian, ID 83642

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