Organization
RICARDO LLORENTE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDOCHEE MONESTIME (CREDENTIALING SPECIALIST)
(786) 328-4352
Entity
Organization
Contact information
Practice address
150 E 49TH ST, HIALEAH, FL 33013-1853
(305) 362-8331
Mailing address
150 E 49TH ST, HIALEAH, FL 33013-1853
(305) 362-8331
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
01/03/2022
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