Individual
ADA RICARDO CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15524 NW 77TH CT, MIAMI LAKES, FL 33016-5804
(305) 231-5266
Mailing address
13730 HARRISON ST, MIAMI, FL 33176-6211
(786) 203-5804
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA26353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26353
PTA
FL
Enumeration date
02/07/2018
Last updated
06/16/2018
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