Rico, Angel Ernesto

Rico, Angel Ernesto is an sole proprietor health care provider with primary practice located at 15495 Eagle Nest Ln Suite 225, Miami Lakes FL 33014-2266. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rico, Angel Ernesto can be contacted via phone (305) 828-3214.

Contact Information

Primary practice address
15495 Eagle Nest Ln Suite 225 Miami Lakes FL 33014-2266
Phone: (305) 828-3214
Fax: (305) 828-3216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 98769 Florida

Profile Details

NPI number 1417166091
LBN Legal business name Rico, Angel Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417166091 NPPES
Florida MEDICAID 278704100

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