Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | ME44807 | FL |
NPI | 1134125347 |
---|---|
Provider Name | Dr. Ramon Quesada |
First Address | Miami, FL 33173-5458 |
Second Address | Miami, FL 33176-2132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 30/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063530800 | (05) | FL |