Healthcare Provider Details

I. General information

NPI: 1437344991
Provider Name (Legal Business Name): CARLOS A. HIGUERA RUEDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 09/01/2024
Certification Date: 09/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD FL 3
WESTON FL
33331-3625
US

IV. Provider business mailing address

490 RANCH RD
WESTON FL
33326-1719
US

V. Phone/Fax

Practice location:
  • Phone: 216-401-1385
  • Fax: 954-659-5427
Mailing address:
  • Phone: 216-401-1385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberME135802
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number35.099421
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME135802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: