Individual
DR. ANGEL ERNESTO RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15495 EAGLE NEST LN, SUITE 225, MIAMI LAKES, FL 33014-2266
(305) 828-3214
(305) 828-3216
Mailing address
15495 EAGLE NEST LN, SUITE 225, MIAMI LAKES, FL 33014-2266
(305) 828-3214
(305) 828-3216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 98769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278704100
—
FL
Enumeration date
05/21/2007
Last updated
07/12/2023
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