Individual
CARLOS ALBERTO RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 737-7733
Mailing address
504 NE 8TH AVE, DELRAY BEACH, FL 33483-5622
(323) 219-7386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME134871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A880180
BLUE SHIELD
CA
05
—
00A880180
—
CA
Enumeration date
07/26/2006
Last updated
07/02/2021
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