Individual
DR. RUSDANY COLLADO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10621 N KENDALL DR STE 200, MIAMI, FL 33176-1530
(786) 334-2494
(786) 221-2883
Mailing address
13783 SW 66TH ST APT A219, MIAMI, FL 33183-2200
(305) 502-3553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME159106
FL
2084N0400X
Neurology Physician
Primary
ME159106
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
01/17/2025
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