Healthcare Provider Details

I. General information

NPI: 1720992886
Provider Name (Legal Business Name): HEHIDY RICARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 SW 67TH AVE
MIAMI FL
33144-4714
US

IV. Provider business mailing address

1032 SW 10TH AVE
MIAMI FL
33130-3618
US

V. Phone/Fax

Practice location:
  • Phone: 786-630-7366
  • Fax:
Mailing address:
  • Phone: 305-783-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8399
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: