MEDICARE: RICARDO L MACHADO M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	ME 0041695	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1598736969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO L MACHADO M.D.

Provider Business Mailing Address
First Line	:	7100 W 20TH AVE STE 205
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1812
Country	:	US
Telephone Number	:	305-824-3451
Fax Number	:	305-512-5750

Provider Business Practice Location Address
First Line	:	7100 W 20TH AVE STE 205
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1812
Country	:	US
Telephone Number	:	305-824-3451
Fax Number	:	305-828-9492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	11/22/2023

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Directions to “ RICARDO L MACHADO M.D.” Practice Location

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