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Organization
ANGEL ERNESTO RICO MD PA II
Active
Organization
ANGEL ERNESTO RICO MD PA II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ERNESTO RICO MD PA (PRESIDENT)
(786) 353-2098
Entity
Organization
Contact information
Practice address
1275 W 47TH PL STE 420, HIALEAH, FL 33012-3452
(863) 532-0987
(786) 353-2249
Mailing address
1275 W 47TH PL STE 420, HIALEAH, FL 33012-3452
(786) 353-2098
(786) 353-2249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278704100
—
FL
Enumeration date
07/13/2023
Last updated
11/09/2023
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