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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558546531 | NPPES |
| New Jersey | MEDICAID | 0154598 |
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