| Angel Ernesto Rico Md Pa Ii | |
|
1275 W 47th Pl Ste 420 Hialeah FL 33012-3452 | |
| (863) 532-0987 | |
| (786) 353-2249 |
| Full Name | Angel Ernesto Rico Md Pa Ii |
|---|---|
| Speciality | General Practice |
| Location | 1275 W 47th Pl Ste 420, Hialeah, Florida |
| Authorized Official Name and Position | Angel Ernesto Rico (PRESIDENT) |
| Authorized Official Contact | 7863532098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Ernesto Rico Md Pa Ii 1275 W 47th Pl Ste 420 Hialeah FL 33012-3452 Ph: (786) 353-2098 | Angel Ernesto Rico Md Pa Ii 1275 W 47th Pl Ste 420 Hialeah FL 33012-3452 Ph: (863) 532-0987 |
| NPI Number | 1295414787 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 1759743404 |
|---|---|
| Medicare Enrollment ID | O20230814001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295414787 | NPI | - | NPPES |
| 278704100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Angel E Rico |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417166091 PECOS PAC ID: 3072601624 Enrollment ID: I20071114000422 |
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