Organization · Type 2 NPI

Enrique Rueda PA

Surgical Physician Assistant · Miami, FL

NPI number 1407973217 Active

Practice location

9409 Fontainebleau Blvd Apt 101
Miami, FL 33172-5515

Call (305) 554-1491 Map

Fax (305) 554-7154

Mailing address

9409 Fontainebleau Blvd, Apt # 101
Miami, FL 33172-7503

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9101498 (FL)
Medical Physician Assistant 363AM0700XPA9101498 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9101498 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1407973217

Enrique Rueda PA's National Provider Identifier is 1407973217, issued on Mar 25, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Miami, FL. The record was last updated on Sep 11, 2025.