Provider Demographics
NPI:1073281317
Name:RUEDA, LILIANA MARIA (BACHELOR'S DEGREE)
Entity Type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:MARIA
Last Name:RUEDA
Suffix:
Gender:F
Credentials:BACHELOR'S DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 N LYNDELL DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2155
Mailing Address - Country:US
Mailing Address - Phone:908-759-3185
Mailing Address - Fax:908-759-3185
Practice Address - Street 1:513 W COLONIAL DR STE 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6866
Practice Address - Country:US
Practice Address - Phone:407-490-7824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management