Provider Demographics
NPI:1346970803
Name:RICARDO AGUILERA, LUDMILA (APRN)
Entity type:Individual
Prefix:
First Name:LUDMILA
Middle Name:
Last Name:RICARDO AGUILERA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5740 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6021
Mailing Address - Country:US
Mailing Address - Phone:305-722-8565
Mailing Address - Fax:
Practice Address - Street 1:5740 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6021
Practice Address - Country:US
Practice Address - Phone:305-722-8565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11018738363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care