MEDICARE: RICARDO BERMUDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835C0205X	Critical Care Pharmacist	63023	FL
2	183500000X	Pharmacist	63023	FL

General Provider Information

NPI Number	:	1598608705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO BERMUDEZ

Provider Business Mailing Address
First Line	:	11027 W 33RD LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-2193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11027 W 33RD LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-2193
Country	:	US
Telephone Number	:	786-327-3216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ RICARDO BERMUDEZ ” Practice Location

Language	Start Address	Practice Location

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