Organization
ENRIQUE RUEDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE J RUEDA PA (PA)
(305) 554-1491
Entity
Organization
Contact information
Practice address
9409 FONTAINEBLEAU BLVD APT 101, MIAMI, FL 33172-5515
(305) 554-1491
(305) 554-7154
Mailing address
9409 FONTAINEBLEAU BLVD, APT # 101, MIAMI, FL 33172-7503
(305) 554-1491
(305) 554-7154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101498
FL
363AM0700X
Medical Physician Assistant
PA9101498
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101498
FL
Other
Enumeration date
03/25/2007
Last updated
09/11/2025
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