Provider Demographics
NPI:1891127494
Name:GASPARD, RICARDO EMMANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:EMMANUEL
Last Name:GASPARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6464 N. MIAMI AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150
Mailing Address - Country:US
Mailing Address - Phone:305-756-8890
Mailing Address - Fax:305-758-5769
Practice Address - Street 1:6464 N. MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150
Practice Address - Country:US
Practice Address - Phone:305-756-8890
Practice Address - Fax:305-758-5769
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN472208D00000X
PR18432208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice