# ANGEL ERNESTO RICO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGEL ERNESTO RICO MD PA
- **Other names:** ANGEL E. RICO, ANGEL E. RICO MD PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346936440
- **Legal business name:** ANGEL ERNESTO RICO MD PA
- **Authorized official:** ANGEL ERNESTO RICO (PRESIDENT)
- **Authorized official phone:** (305) 828-3214

## Contact information

- **Practice address:** 1275 W 47TH PL STE 420, HIALEAH, FL 33012-3452
- **Practice address phone:** (305) 828-3214
- **Practice address fax:** (305) 828-3216
- **Mailing address:** 1275 W 47TH PL STE 420, HIALEAH, FL 33012-3452
- **Mailing address phone:** (305) 828-3214
- **Mailing address fax:** (305) 828-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023