Healthcare Provider Details

I. General information

NPI: 1437077260
Provider Name (Legal Business Name): FRANCISCO RIESGO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8370 W FLAGLER ST STE 115
MIAMI FL
33144-2047
US

IV. Provider business mailing address

15623 SW 36TH TER
MIAMI FL
33185-4790
US

V. Phone/Fax

Practice location:
  • Phone: 786-636-9905
  • Fax:
Mailing address:
  • Phone: 305-783-8291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN3411682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: