Individual
DR. JAVIER RICARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 W 12TH AVE STE 12, HIALEAH, FL 33014-5154
(305) 267-6774
(305) 267-8482
Mailing address
7000 W 12TH AVE STE 12, HIALEAH, FL 33014-5154
(305) 267-6774
(305) 267-8482
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME92030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273137100
—
FL
01
—
28825
BCBS
FL
Enumeration date
05/19/2006
Last updated
04/23/2024
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