Individual
RICARDO LUIS DE LA VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 SW 87TH AVE STE 100, MIAMI, FL 33173-5458
(786) 204-4201
(786) 591-6001
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 204-4201
(786) 591-6001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME160915
FL
Other
Enumeration date
03/23/2016
Last updated
04/08/2024
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