Individual
CRISTOBAL FERNANDO RISQUEZ CORDOVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 SW 97TH AVE STE 120, MIAMI, FL 33173-1474
(786) 299-5419
(844) 431-6801
Mailing address
PO BOX 562435, MIAMI, FL 33256-2435
(786) 299-5419
(844) 431-6801
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME150756
FL
207RP1001X
Pulmonary Disease Physician
ME150756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME150756
STATE LICENSE
FL
Enumeration date
03/23/2012
Last updated
12/27/2023
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