Organization
ENRIQUE RUEDA MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE J RUEDA PHYSICIAN ASSISTANT (PRESIDENT)
(305) 554-1491
Entity
Organization
Contact information
Practice address
9409 FONTAINEBLEAU BLVD, APT 101, MIAMI, FL 33172-7503
(305) 554-1491
(305) 226-4860
Mailing address
9409 FONTAINEBLEAU BLVD, APT 101, MIAMI, FL 33172-7503
(305) 554-1491
(305) 226-4860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101498
FL
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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