Vicuna, Ricardo I
Vicuna, Ricardo I is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 300 , Fort Lauderdale FL 33316-2521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Vicuna, Ricardo I can be contacted via phone (954) 355-5001.Contact Information
Primary practice address
1625 Se 3Rd Ave Ste 300
Fort Lauderdale FL 33316-2521
Phone: (954) 355-5001
Fax: (954) 355-4881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME94407 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME94407 | Florida |
Profile Details
| NPI number | 1699815720 |
|---|---|
| LBN Legal business name | Vicuna, Ricardo I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Apr 3rd, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699815720 | NPPES |
| Florida | MEDICAID | 001070800 | |
| Florida | Other | 44058 |
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