Individual
MARIA ADELAIDA RUEDA-LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE # 16960M851, MIAMI, FL 33136-1005
(305) 355-9105
Mailing address
1611 NW 12TH AVE # 16960M851, MIAMI, FL 33136-1005
(305) 355-9105
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
ME110948
FL
2084P0800X
Psychiatry Physician
Primary
ME110948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154598
—
NJ
Enumeration date
01/08/2008
Last updated
09/06/2011
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