Rueda-Lara, Maria Adelaida

Rueda-Lara, Maria Adelaida is an individual health care provider with primary practice located at 1611 Nw 12Th Ave # 16960M851 , Miami FL 33136-1005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Rueda-Lara, Maria Adelaida can be contacted via phone (305) 355-9105.

Contact Information

Primary practice address
1611 Nw 12Th Ave # 16960M851 Miami FL 33136-1005
Phone: (305) 355-9105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME110948 Florida
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X ME110948 Florida

Profile Details

NPI number 1558546531
LBN Legal business name Rueda-Lara, Maria Adelaida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Sep 6th, 2011 - about 13 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 1558546531 NPPES
New Jersey MEDICAID 0154598

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