Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME138043 | FL |
N | 208600000X | Surgeon | ME138043 | FL |
Y | 2082S0105X | Plastic Hand Surgeon | ME138043 | FL |
N | 2086S0105X | Surgery of the Hand | ME138043 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | 35.128891 | OH |
NPI | 1487911053 |
---|---|
Provider Name | Steven Rueda |
First Address | Jupiter, FL 33458-7130 |
Second Address | Wellington, FL 33449-8099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 09/10/2019 |