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NPI Code Detail

MEDICARE: DR. RICARDO J VASQUEZ-DUARTE MD

MEDICARE: DR. RICARDO J VASQUEZ-DUARTE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianME110485FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114172673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICARDO J VASQUEZ-DUARTE MD
Provider Business Mailing Address
First Line : 1755 SW 12TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-5115
Country : US
Telephone Number : 305-677-3541
Fax Number : 888-929-8436
Provider Business Practice Location Address
First Line : 9400 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-1434
Country : US
Telephone Number : 305-677-3541
Fax Number : 888-929-8436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2008
Last Update Date : 12/14/2024

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