# KINETIC FOOT AND ANKLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932686334
- **Authorized official:** DR. RICO MIGUEL ALMAZAN VISPERAS D.P.M. (OWNER)
- **Authorized official phone:** (862) 520-8895

## Contact information

- **Practice address:** 1030 MCBRIDE AVE UNIT 103, WOODLAND PARK, NJ 07424-2535
- **Practice address phone:** (862) 520-8895
- **Mailing address:** 50 LINCOLN AVE, LITTLE FALLS, NJ 07424-1535
- **Mailing address phone:** (862) 520-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00323600 | NJ | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 12/17/2018