Angel Ernesto Rico MD PA

NPI #1740557800 in Miami Lakes, Florida

Provider Information

NPI Number: 1740557800
Entity Type: Organization
Organization Name: Angel Ernesto Rico MD PA
Primary Specialty: Family Medicine
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 15495 EAGLE NEST LN
Address 2: SUITE # 225
City: Miami Lakes
State: Florida
ZIP Code: 33014-2266
Phone: (305) 828-3214

Authorized Official

Name: ANGEL ERNESTO RICO, MD PA
Title: PRESIDENT
Phone: (305) 828-3214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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