Individual
RICHARD ALFREDO MARIDUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 NW 62ND ST, MIAMI, FL 33150-4332
(786) 655-0529
Mailing address
8187 NW 8TH ST APT 213, MIAMI, FL 33126-2895
(786) 512-6288
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11024378
FL
Other
Enumeration date
04/10/2023
Last updated
12/23/2024
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