Individual
DR. CARMEN RUEDA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
461 LORETTO AVE, CORAL GABLES, FL 33146-2105
(786) 205-1758
Mailing address
461 LORETTO AVE, CORAL GABLES, FL 33146-2105
(786) 205-1758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076180000
—
FL
Enumeration date
10/12/2006
Last updated
12/04/2012
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