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

Ronnie Barboza

Individual provider Acute Care Nurse Practitioner · NPI 1770171142

Ronnie Barboza is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
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Practice location Address checks out

36 1st Ave
Boston, MA 02129-4557
Phone: (774) 240-4088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2337892 (MA)

Record details

NPI number1770171142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 1, 2021
Last updated in NPPESOctober 17, 2021
Certification dateOctober 17, 2021
Mailing address1402 Rock Wood Dr, Saugus, MA 01906-4537

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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