RICARDO I VICUNA (NPI# 1699815720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699815720 |
| Entity Type | Individual |
| Full Name | RICARDO I VICUNA |
| Credential | M.D. |
| Practice Address |
2307 W Broward Blvd Ste 100 Fort Lauderdale FL 33312-1420 |
| Mailing Address |
2307 W Broward Blvd Ste 100 Fort Lauderdale FL 33312-1420 |
| Practice Telephone | (954) 523-3422 |
| Practice Fax Number | 9545233423 |
| Mailing Telephone | 9545233422 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME94407 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME94407 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001070800 | 05 | |
| FL | FL BLUE | 44058 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7421 N University Dr Ste 101, Tamarac, FL 333212952 | 9547216666 | 9547267862 |
| Street Address |
2307 W BROWARD BLVD STE 100 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548221237 | David Edward Perloff | Internal Medicine | 2307 W Broward Blvd Ste 100, Fort Lauderdale, FL 33312-1420 | 2006-03-31 |
| 1134670912 | Vivian Carolina Thomas | Nurse Practitioner | 2307 W Broward Blvd Ste 100, Fort Lauderdale, FL 33312-1420 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508005 | North Broward Hospital District | Internal Medicine | 1800 E Commercial Blvd, Fort Lauderdale, FL 33308-3725 | 2020-08-12 |
| 1386289288 | Vanguard Catheterization Lab LLC | Internal Medicine | 3401 Davie Blvd, Fort Lauderdale, FL 33312-2758 | 2019-11-14 |
| 1144712050 | Michael A Chizner Md Pa | Internal Medicine | 12 Ne 12th Ave, Fort Lauderdale, FL 33301-1604 | 2018-06-06 |
| 1174763148 | South Florida Premiere Cardiology LLC | Internal Medicine | 401 E Las Olas Blvd, Suite 130-137, Fort Lauderdale, FL 33301-2210 | 2009-03-03 |
| 1679537583 | Michael A Chizner | Internal Medicine | 12 Ne 12th Ave, Fort Lauderdale, FL 33301-1604 | 2006-04-17 |
| 1275513384 | Zachariah P Zachariah Mdpa | Internal Medicine | 4725 N Federal Hwy, Suite 501, Fort Lauderdale, FL 33308-4603 | 2006-01-17 |
| 1184604290 | Edgardo Dos Santos | Internal Medicine | 4725 N Federal Hwy, Suite 501, Fort Lauderdale, FL 33308-4603 | 2006-01-17 |
| 1154300150 | Mammen P Zachariah | Internal Medicine | 6405 N Federal Highway, Suite 200, Fort Lauderdale, FL 33308-1412 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.