Healthcare Provider Details

I. General information

NPI: 1790668820
Provider Name (Legal Business Name): RICE MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 E MCNAB RD STE 113
POMPANO BEACH FL
33060-9240
US

IV. Provider business mailing address

146 E MCNAB RD STE 113
POMPANO BEACH FL
33060-9240
US

V. Phone/Fax

Practice location:
  • Phone: 305-795-0600
  • Fax:
Mailing address:
  • Phone: 305-795-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MAURICIO GARCIA LOSADA
Title or Position: OWNER
Credential:
Phone: 305-795-0600