| Ricardo J Plasencia Md Pa | |
|
8000 W Flagler St Suite 202 Miami FL 33144-2153 | |
| (305) 264-3989 | |
| (305) 265-1929 |
| Full Name | Ricardo J Plasencia Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8000 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Ricardo Jose Plasencia (PRESIDENT) |
| Authorized Official Contact | 3052643989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo J Plasencia Md Pa 8000 W Flagler St Suite 202 Miami FL 33144-2153 Ph: (305) 264-3989 | Ricardo J Plasencia Md Pa 8000 W Flagler St Suite 202 Miami FL 33144-2153 Ph: (305) 264-3989 |
| NPI Number | 1306105432 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Medicare PECOS PAC ID | 2961659784 |
|---|---|
| Medicare Enrollment ID | O20120830000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306105432 | NPI | - | NPPES |
| 045059600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME48052 (Florida) | Primary |
| Provider Name | Ricardo J Plasencia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992725543 PECOS PAC ID: 7719912575 Enrollment ID: I20050929000840 |
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