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General NPI Number Information
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NPI Number | 1639378391
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Entity Type | Organization
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Legal Business Name | RILA'S MEDICAL CARE CORP.
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 2097 W. 76 ST. SUITE A
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City | HIALEAH
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State | FL
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Zip | 33016
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Country | US
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Telephone | 305-823-4248
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Fax |
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Provider Business Mailing Address
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Address Line | 2097 W. 76 ST. SUITE A
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City | HIALEAH
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State | FL
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Zip | 33016
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Country | US
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Telephone | 305-823-4248
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Fax |
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Authorized Official
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Title or Position | P7864020028RESIDENT
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Name | MR. RIQUET CABALLERO
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Credential | M.D.
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Telephone | 305-823-4248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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