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ENRIQUE RUEDA MEDICAL CORP NPI 1679845333


NPI Information

NPI: 1679845333
Provider Name: ENRIQUE RUEDA MEDICAL CORP
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
9409 FONTAINEBLEAU BLVD
APT 101
MIAMI, FL
ZIP 33172
Phone: (305) 554-1491
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ENRIQUE RUEDA MEDICAL CORP is a medical physician assistant in Miami, FL. ENRIQUE RUEDA MEDICAL CORP NPI is 1679845333. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9409 FONTAINEBLEAU BLVD
APT 101
MIAMI, FL
ZIP 33172-503
Phone: (305) 554-1491
Fax: (305) 226-4860

The provider's authorized official is Enrique J Rueda .
The authorized official title is President and has the following contact phone number (305) 554-1491.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA9101498FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q1575MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.