Organization
RICARDO BUITRAGO PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO BUITRAGO (PRESIDENT)
(516) 286-8909
Entity
Organization
Contact information
Practice address
2281 SW 129TH AVE, MIRAMAR, FL 33027-2652
(516) 286-8909
Mailing address
2281 SW 129TH AVE, MIRAMAR, FL 33027-2652
(516) 286-8909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
01/13/2023
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